case_images: PMC10630000_01
case_images: Perineal appearance on the 1st day of life showing a normal-looking anus in a boy (a) and the appearance of a lump (black arrow) in the posterior aspect of the anus revealing a funnel-shaped canal (b).
case_images: CRIPE2023-3669723.001.jpg
case_images: PMC10630000_01_CRIPE2023-3669723.001.jpg
case_images: fig1
case_images: At birth, a male neonate born at 40 weeks of gestational age with a birth weight of 3820 g (average for gestational age, Z-score 0.7, 75 pc) showed normal buttocks, normal genitalia, and good-looking perineum with a funnel-shaped anus (Figure 1).
case_images: Cross-table lateral radiograph taken at 24 hours of life. A radiopaque marker was placed at the level of the anal dimple.
case_images: CRIPE2023-3669723.002.jpg
case_images: PMC10630000_01_CRIPE2023-3669723.002.jpg
case_images: fig2
case_images: Cross-table lateral X-ray was performed demonstrating a distance of 5 mm between the rectal cul de sac and the skin (Figure 2).
case_images: PMC10630000_02
case_images: Intraoperative pictures showing the intraoperative findings and the main passages of the posterior-sagittal anorectoplasty (PSARP) performed on the 1st day of life. Incision and rectal cul de sac were found (a), rectal mobilization (b), and neoanus centered in the sphincter complex (c).
case_images: CRIPE2023-3669723.003.jpg
case_images: PMC10630000_02_CRIPE2023-3669723.003.jpg
case_images: fig3
case_images: On the 2nd day of life, a mini-primary posterior sagittal anorectoplasty (PSARP) was performed (Figure 3), and the intraoperative finding showed the rectal pouch outside from the sphincter muscle as for ARM without a fistula.