Colostomy Takedown: Ischemic Complication following Anorectal Malformation Surgery

Figure 5

(a) Anatomy of the patient’s colon prior to redo-PSARP, indicating the sites of her previous colostomies and the ischemic descending colon. (b) Final anatomic configuration after colon resection and redo-PSARP. Her neoappendicostomy is anastomosed to her umbilicus, while the ascending and proximal transverse colon were derotated to allow for a new coloanal anastomosis.

(a)

(b)