Presentation
Imperforate anus.
Patient Data
Age: 5 days
Gender: Female
From the case:
Butterfly vertebra and anal atresia
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There is gross dilatation of the large bowel consistent with an imperforate anus and no secondary fistula.
From the case:
Butterfly vertebra and anal atresia
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In addition (as demonstrated on the original film), there is an additional finding of a butterfly vertebra at the level of T11.
Case Discussion
Butterfly vertebra in a child with an imperforate anus (and a large ASD). On the spinal imaging, the child has been decompressed by the creation of a colovaginal fistula.