Adult residual rectourethral fistula and diverticulum presenting decades after imperforate anus repair: a case report.

ABSTRACT:

Background

This report describes a rare surgical case of an intraabdominal mass in a middle-aged patient 40 years after imperforate anus repair.

Case presentation

A 44-year-old Latino male with history of repaired anorectal malformation presented with recurrent urinary tract infections and rectal prolapse with bothersome bleeding and fecal incontinence. During his preoperative evaluation, he was initially diagnosed with a prostatic utricle cyst on the basis of magnetic resonance imaging findings, which demonstrated a cystic, thick-walled mass with low signal contents that extended inferiorly to insert into the distal prostatic urethra. However, at the time of surgical resection, the thick-walled structure contained an old, firm fecaloma. The final pathology report described

SUBMITTER: McShane EK 

PROVIDER: S-EPMC8281626 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature