Rectal Stenosis: A Rare Anorectal Malformation

A 2-day-old male baby presented with abdominal distension and failure to pass meconium. The perineal examination revealed normally placed patent anus. A rectal examination with thermometer revealed a resistance at 2-3cm from the anal verge. A contrast enema was given to document the suspicion of rectal atresia. The contrast enema revealed a 2cm long stenosis of the rectum opening abruptly into hugely dilated proximal colon (Fig. 1). A sigmoid loop colostomy performed over a skin bridge. The patient was then discharged after 2 days with a plan of posterior sagittal management of rectal stenosis.