Vicky A., 1

Little Vicky, a bundle of joy, brings light to her family's one-room home on the outskirts of Kaduna city. Just 11 months old, she's already a master of play, spreading smiles and laughter to her siblings and parents. Despite facing health challenges, Vicky's spirit remains unbroken, a testament to her resilience. Her family, who fled their village due to banditry, has found solace in Kaduna. Her parents, though struggling to make ends meet as farmers, are determined to provide a better life for their children. Vicky's siblings look up to her with adoration, and her parents cherish every moment with their little one. As Vicky grows, she's teaching her family the value of joy and perseverance. Her playful nature is a reminder that even in tough times, there's always hope and love. Though she's yet to start school, Vicky's education has already begun – learning about family, love, and the strength to thrive amidst challenges. Vicky's story is one of hope and resilience, inspiring those around her to cherish every moment and never give up. Little Vicky's journey began like any other baby's, filled with joy and hope. But at 4 months, her parents' world was shaken. While bathing her, her stepmother discovered something was terribly wrong - Vicky's anus had no opening. The search for help began, with hospital after hospital unable to provide the surgery Vicky desperately needed. Despite their best efforts, the family faced rejection and disappointment. It wasn't until they reached Barua Dikko Teaching Hospital and then 44 ARMY Reference Hospital that they heard about Helpster Charity, a beacon of hope for families like theirs. Moved by their story, Helpster Charity stepped in, offering Vicky a chance at a normal life. The family's gratitude is overwhelming, knowing their little one is finally getting the care she deserves. Vicky's story is a testament to the power of love, perseverance, and kindness. At presentation at Epsilon Hospital, Vicky was evaluated and after series of examination and imaging studies it was confirmed that she has anorectal malformation. The diagnosis of Imperforate Anus was made with Recto-vestibular Fistula which allows feces to be passed. The child is in need of urgent surgical intervention to correct the anomaly and prevent recurrent sepsis that can lead to death.

Vicky Ali, a 1-year-old girl, was managed for an anorectal malformation with vestibular fistula after presenting with stool passing through the vagina and confirmed by fistulogram and other pre-op tests. She underwent a posterior sagittal anorectoplasty under general anesthesia on 25/2/2026, which was well tolerated, and received 150mls of blood transfusion post-op along with IV fluids, IV paracetamol, IV ceftriaxone, and flagyl. Her recovery went well with good wound healing, optimal stool passage per rectum, and no complaints at discharge on 6/3/2026 on oral medications. She is now stable but continues weekly anal dilation to prevent stricture and will need ongoing follow-up support.

In doctor's opinion, Vicky's condition is a congenital anomaly that will cause repeated infection and malnutrition and she requires surgical intervention. Prognosis depends on level of malformation. Low ARM has good outcomes with good continence, high ARM may have incontinence or constipation.