Colorectal Quiz: Episode 40 - Complex Female ARM

Stay Current in Pediatric Surgery

In this insightful podcast, Drs. Marc Levitt, Jason Frischer, and Chris Westgarth-Taylor discuss the challenging anatomy and surgical strategies for complex female anorectal malformations. They walk us through a unique case involving a cloacal malformation with a high blind-ending rectum, highlighting the importance of detailed preoperative planning, multidisciplinary collaboration, and a tailored surgical approach.

Key Topics Covered:

• Case Presentation: A young patient with a rare cloacal anomaly presenting with a single perineal orifice and absent Mullerian structures.
• Surgical Strategy: Using laparoscopic-assisted PSARP, considerations for colostomy, and preserving future options for gynecological reconstruction.
• Anatomy & Vascular Concerns: Managing unexpected vascular anomalies and protecting critical structures.
• Future Planning: Long-term follow-up for continence, bladder function, and possible tissue engineering solutions for gynecologic needs.

Join us for a fascinating discussion on managing rare anorectal malformations and the careful planning that goes into achieving successful outcomes.