title: Endoscopically placed rectourethral guidewire facilitates the reconstruction of anus in children with anorectal malformations: a case report.
abstract: The aim of this report is to present a technical detail of use in the management of an anorectal malformation (ARM). A boy with ARM and a fistula to the urethra was operated on with a posterior sagittal anorectoplasty (PSARP). Before the PSARP operation, a videoendoscopy was performed through the distal stoma down to the distal end of the rectum. The rectourethral fistula was identified and a guidewire was passed through the endoscope, through the fistula, and out through the urethra. The endoscopically placed rectourethral guidewire was used as a landmark and facilitated the PSARP operation.
authors.affiliation: Department of Pediatric Surgery, Skane University Hospital, Lund, Sweden.
authors.forename: Pernilla
authors.initials: P
authors.lastname: Stenström
authors.affiliation: Department of Pediatric Surgery, Skane University Hospital, Lund, Sweden.
authors.forename: Magnus
authors.initials: M
authors.lastname: Anderberg
authors.affiliation: Department of Pediatric Surgery, Skane University Hospital, Lund, Sweden.
authors.forename: Christina Clementson
authors.initials: CC
authors.lastname: Kockum
authors.affiliation: Department of Pediatric Surgery, Skane University Hospital, Lund, Sweden.
authors.forename: Einar
authors.initials: E
authors.lastname: Arnbjornsson
keywords: anorectal malformation; endoscopy; newborns; posterior sagittal anorectoplasty; rectourethral fistula