Big Perineal lipomas with imperforate anus

Abstract

Newborn male patient presented at alkhansaa teaching hospital with signs of neonatal intestinal obstruction secondary to big perineal lipoma and anorectal malformation, a colostomy  performed .After 4 months the size of lipoma  get bigger, a decision for excising lipoma with posterior sagittal ano-recteoplasty  was performed .Regular  dilatation  for the internal  anal sphinector  and closure  of colostomy  was  done ,follow  up for 5 years  shows normal bowel function  with total continence  t although it has been said that perineal lipoma with  anorectal  malformation   may compromise   bowel function  ,we conclude  that  the line  of management is the same as simple anorectal malformation and the outcome is promising if excision of lipoma  done early in life.