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Case Reports
. 2014 Apr;12(2):234-6.
doi: 10.1590/s1679-45082014rc2746.

A rare case of perineal hamartoma associated with cryptorchidism and imperforate anus: case report

[Article in English, Portuguese]
Kleiton Gabriel Ribeiro Yamaçake  1 , Amilcar Martins Giron  1 , Uenis Tannuri  2 , Miguel Srougi  1
Affiliations
Case Reports

A rare case of perineal hamartoma associated with cryptorchidism and imperforate anus: case report

[Article in English, Portuguese]
Kleiton Gabriel Ribeiro Yamaçake et al. Einstein (Sao Paulo). 2014 Apr.

Abstract
in English, Portuguese

A full-term male neonate with anorectal anomaly and external perineal anomalies was referred to our service. Physical examination showed an epithelized perineal mass with cutaneous orifices, which had urine fistulization, hipotrofic perineal musculature, bilateral congenital clubfoot, hipospadic urethra, criptorquidy bilateral with nonpalpable testis and imperforate anus. A colostomy was constructed immediately after birth. The child underwent excision of perineal mass, bilateral orchidopexy, Duplay neourethroplasty and coloanal anastomosis at 3 months of age. The histopathological examination of the perineal mass revealed a hamartoma.

Recém-nascido a termo do sexo masculino encaminhado ao nosso serviço por anomalia anorretal e anomalias perineais externas. O exame físico revelou massa perineal epitelizada, com orifícios cutâneos que apresentavam saída de urina, musculatura perineal hipotrófica, pé torto congênito bilateral, uretra hipospádica, criptorquidia bilateral com testículos não palpáveis e ânus imperfurado. Logo após o nascimento, o paciente foi submetido à colostomia. Aos 3 meses de idade, a criança foi submetida à excisão da massa perineal, orquidopexia bilateral, neouretroplastia a Duplay e anastomose coloanal. A análise anatomopatológica da massa perineal indicou hamartoma.

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Figures

Figure 1
Figure 1. Epithelized perineal mass with cutaneous fistulization. Red arrow: fistulous orifice with urine output; black arrow: hipospadic urethral orifice; blue arrow: left scrotum
Figure 2
Figure 2. Magnetic resonance. Volumous perineal mass, extending superiorly to the right obturator, with very thick walls and heterogeneous content with neurovascular pedicle from the right sacral region
Figure 3
Figure 3. Lobulated mass after midline perineal incision
See this image and copyright information in PMC

References

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