title: Neonate With Imperforate Anus and Meconium Streak Along the Penile Shaft.
abstract: We present a neonatal male with a rectopenile fistula in the setting of imperforate anus. Reported cases of fistulae exiting on the penile shaft are exceedingly rare. The patient had a diverting colostomy performed within the first 48 hours of life and imaging later revealed no communication with the urinary tract. At 4 months of age the child was brought to the operative suite for penile exploration and posterior sagittal anorectoplasty. The patient's colostomy was reversed 4 months later. We discuss the embryology and management of imperforate anus as well as literature review.
authors.affiliation: University of Mississippi Medical Center, Jackson, MS. Electronic address: rhurtt@umc.edu.
authors.forename: Robbie
authors.initials: R
authors.lastname: Hurtt
authors.affiliation: University of Mississippi Medical Center, Jackson, MS.
authors.forename: Christopher
authors.initials: C
authors.lastname: Bean
authors.affiliation: University of Mississippi Medical Center, Jackson, MS.
authors.forename: David
authors.initials: D
authors.lastname: Sawaya
authors.affiliation: University of Mississippi Medical Center, Jackson, MS.
authors.forename: Edwin
authors.initials: E
authors.lastname: Harmon
mesh_terms: D001006:Anus, Imperforate / Q000150:complications / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008470:Meconium; D010409:Penile Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D012003:Rectal Fistula / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*