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Augmented-pressure colostogram in imperforate anus with fistula.
Pediatr Radiol. 1991; 21(8):560-2.PR

Abstract

Most newborns with imperforate anus, except for those with very low varieties, undergo a diverting colostomy performed in the postnatal period, with definitive surgical repair at a later age. Accurate demonstration of the anatomy of any associated fistula between the rectum and urogenital tract is essential for optimal surgical management. An augmented-pressure distal segment colostogram is recommended prior to definitive repair, both to confirm the level of rectal atresia and to define any associated fistulous communication. We report a case of high imperforate anus with rectourethral fistula in which the fistulous tract was not identified on the conventional contrast colostogram but was readily delineated when an augmented-pressure modification of the technique was utilized. The technical aspects of augmented-pressure colostography are presented.

Authors+Show Affiliations

Gross GW
Department of Radiology, Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia.
Wolfson PJ
No affiliation info available
Pena A
No affiliation info available

MeSH

Anus, ImperforateContrast MediaHumansInfantIntestine, LargeMaleRadiographyRectal FistulaUrethral DiseasesUrinary Fistula

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

1815175

Citation

Gross, G W., et al. "Augmented-pressure Colostogram in Imperforate Anus With Fistula." Pediatric Radiology, vol. 21, no. 8, 1991, pp. 560-2.
Gross GW, Wolfson PJ, Pena A. Augmented-pressure colostogram in imperforate anus with fistula. Pediatr Radiol. 1991;21(8):560-2.
Gross, G. W., Wolfson, P. J., & Pena, A. (1991). Augmented-pressure colostogram in imperforate anus with fistula. Pediatric Radiology, 21(8), 560-2.
Gross GW, Wolfson PJ, Pena A. Augmented-pressure Colostogram in Imperforate Anus With Fistula. Pediatr Radiol. 1991;21(8):560-2. PubMed PMID: 1815175.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Augmented-pressure colostogram in imperforate anus with fistula. AU - Gross,G W, AU - Wolfson,P J, AU - Pena,A, PY - 1991/1/1/pubmed PY - 1991/1/1/medline PY - 1991/1/1/entrez SP - 560 EP - 2 JF - Pediatric radiology JO - Pediatr Radiol VL - 21 IS - 8 N2 - Most newborns with imperforate anus, except for those with very low varieties, undergo a diverting colostomy performed in the postnatal period, with definitive surgical repair at a later age. Accurate demonstration of the anatomy of any associated fistula between the rectum and urogenital tract is essential for optimal surgical management. An augmented-pressure distal segment colostogram is recommended prior to definitive repair, both to confirm the level of rectal atresia and to define any associated fistulous communication. We report a case of high imperforate anus with rectourethral fistula in which the fistulous tract was not identified on the conventional contrast colostogram but was readily delineated when an augmented-pressure modification of the technique was utilized. The technical aspects of augmented-pressure colostography are presented. SN - 0301-0449 UR - https://www.unboundmedicine.com/medline/citation/1815175/Augmented_pressure_colostogram_in_imperforate_anus_with_fistula_ DB - PRIME DP - Unbound Medicine ER -