ABSTRACT
This chapter presents a case study of a new born with anorectal malformation (ARM) and a urologic problem. The plain radiograph of a new born male infant with an anorectal malformation managed with a divided colostomy. The chapter explains that radiograph demonstrates a sacral anomaly, hemi-vertebrae, and scoliosis and that the child needs full VACTERL screening investigations. A MAG-3 (mercapto acetyl triglycine) is then performed, which demonstrates: Poor left renal function; and split function: Left: 7" and Right: 93". The chapter explores that this patient required a left ureterostomy in order to decompress the renal system and help prevent urinary tract infection. The child ultimately underwent a left nephroureterectomy at the time of colostomy closure. The ARM is a bladder neck fistula as demonstrated by the distal colostogram. A high rectum such as this is associated with urologic problems as were seen in this case.
