Ano-rectal malformation and recurring orchioepididymitis in infants.
The case of a newborn boy is reported, incorrectly diagnosed as anal agenesis without urethrae fistula and treated by anoplasty. The patient later suffered several episodes of urinary infection and left epididymo-orchitis-orchioepididymitis, reflux of contrast being shown at micturating cystourethrography into the right vas deferens, the seminal vesicle, epididymis and left testicle. Rectal endoscopy revealed a rectourethral fistula, confirmed by fistulography. The patient improved after surgical removal of the fistula.
Rubio Cordero
J L
JL
Service Pediatric Surgery, Maternity Infants Hospital Infanta Cristina, Badajoz, Spain.
Nuñez Nuñez
R
R
Blesa Sanchez
E
E
D001003:Anal Canal / Q000002:abnormalities* / Q000601:surgery; D002675:Child, Preschool; D003951:Diagnostic Errors; D004823:Epididymitis / Q000209:etiology*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009920:Orchitis / Q000209:etiology*; D012003:Rectal Fistula / Q000175:diagnosis; D012007:Rectum / Q000002:abnormalities* / Q000601:surgery; D012008:Recurrence; D014522:Urethral Diseases / Q000175:diagnosis; D014548:Urinary Fistula / Q000175:diagnosis