Document Detail

Augmented-pressure colostogram in imperforate anus with fistula.
MedLine Citation:
PMID:  1815175     Owner:  NLM     Status:  MEDLINE    
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.
G W Gross; P J Wolfson; A Pena
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric radiology     Volume:  21     ISSN:  0301-0449     ISO Abbreviation:  Pediatr Radiol     Publication Date:  1991  
Date Detail:
Created Date:  1992-06-24     Completed Date:  1992-06-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0365332     Medline TA:  Pediatr Radiol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  560-2     Citation Subset:  IM    
Department of Radiology, Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia.
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MeSH Terms
Anus, Imperforate / complications,  radiography*
Contrast Media / administration & dosage
Intestine, Large / radiography
Rectal Fistula / complications,  radiography*
Urethral Diseases / complications,  radiography*
Urinary Fistula / complications,  radiography*
Reg. No./Substance:
0/Contrast Media

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