Anorectal malformation diverted with transverse colostomy associated with recurrent urinary tract infections

Abstract

Anorectal malformation (ARM) is the absence of a functioning anus with an abnormal attachment of the anus or rectum with urinary or female genital systems in a newborn child. It is considered a birth defect and is associated with comorbidities that may affect the baby from the early stages of life. We report a case of an eight-month-old boy with recurring urinary tract infection, fever, and leakage of blood-filled fluid from his previously constructed transverse colostomy stoma due to the absence of anus and was diagnosed to have ARM with rectourethral fistula. Posterior Saggital AnoRectoPlasty was performed and the condition of the baby was stabilized with no further report of urinary tract infection. For ARM with rectourethral fistula, the preoperative care of colostomy and urgent corrective surgery is obligatory to curtail the effects of ARM and associated anomalies on the affected neonate. • ARM is a congenital anomaly which can present with rectovesicle, rectourethral or rectobulbar fistula. • Colostomy is performed as the initial management of ARM followed by anorectoplasty or laparoscopy. • Mismanagement of colostomy can lead to life-threatening conditions including febrile UTI and sepsis. • Diagnosis and corrective surgery should be performed early to avoid crucial complications.