Anorectal malformation

Question 1

Name the VACTERL malformations

Answer 1

Vertebral
Anorectal/atresias
Cardiac
Tracheal-esophageal
Renal
Limb

Question 2

Differentiate between a low and high anorectal malformation

Answer 2

High

• male
• recto-urinary fistula
• meconium via urethral orifice
• no fistula on inspection
• bowel obstruction
• colostomy, colostogram, PSARP

Low

• female
• rectovestibular fistula
• meconium in vagina
• fistula to perineum/vestibulum
• no bowel obstruction
• no colostomy
• anoplasty/anorectoplasty