Methods: The case was treated by a transverse loop colostomy after magnetic resonance imaging for confirming rectal atresia. He had anal dilation with a Hegar dilator at home and was readmitted to the hospital at age of 5 months for surgery. Distal colostography revealed a rectourethral fistula, and the gap between the two rectal pouches was 0.5 cm. The infant underwent a posterior sagittal repair.

Results: The infant was treated successfully after the fistula was excised and the continuity of the rectum was established by circumferential anatomosis. He is 2 years old now and passes stool daily.

Conclusion: Rectal atresia with rectourethral fistula can be treated successfully by a posterior sagittal approach.

Key words: rectal atresia; rectourethral fistula

World J Pediatr 2007;3(2):150-151