Pediatric Radiology

, Volume 21, Issue 8, pp 560–562 | Cite as

Augmented-pressure colostogram in imperforate anus with fistula

  • G. W. Gross
  • P. J. Wolfson
  • A. Pena


Most newborns with imperforate anus, except for those with very low varieties, undergo a diverting colostomy performed in the postnatal period, with definitive surgical repair at a later age. Accurate demonstration of the anatomy of any associated fistula between the rectum and urogenital tract is essential for optimal surgical management. An augmented-pressure distal segment colostogram is recommended prior to definitive repair, both to confirm the level of rectal atresia and to define any associated fistulous communication. We report a case of high imperforate anus with rectourethral fistula in which the fistulous tract was not identified on the conventional contrast colostogram but was readily delineated when an augmented-pressure modification of the technique was utilized. The technical aspects of augmented-pressure colostography are presented.


Public Health Technical Aspect Postnatal Period Distal Segment Urogenital Tract 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag 1991

Authors and Affiliations

  • G. W. Gross
    • 1
  • P. J. Wolfson
    • 2
  • A. Pena
    • 3
  1. 1.Department of RadiologyThomas Jefferson University HospitalPhiladelphiaUSA
  2. 2.Department of Surgery, Jefferson Medical CollegeThomas Jefferson University HospitalPhiladelphiaUSA
  3. 3.Department of Pediatric Surgery, Schneider Children's HospitalLong Island Jewish Medical CenterNew YorkUSA

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