case_images: PMC11832089_01
case_images: (Left) clinical picture of the neonate presenting with lumbosacral swelling with fistula; (right) infantogram showing characteristic lumbosacral vertebral cleft
case_images: JIAPS-30-96-g001.jpg
case_images: PMC11832089_01_JIAPS-30-96-g001.jpg
case_images: jiaps_136_24-f001
case_images: There was a 10 cm x 7 cm x 5 cm soft tissue swelling over the lumbosacral (LS) region along with an opening discharging meconium over the summit of the swelling [Figure 1]. X-ray LS spine [Figure 1] showed splitting of the lower lumbar and sacral vertebrae.
case_images: Intraoperative image of the fistula showing intact communication with the rectum
case_images: JIAPS-30-96-g002.jpg
case_images: PMC11832089_01_JIAPS-30-96-g002.jpg
case_images: jiaps_136_24-f002
case_images: At definitive surgery, a 4 cm long fistula with its external opening on the skin and internal opening on the posterior wall of the rectum [Figure 2] was transfixed and excised along with the surrounding lipomatous tissue.