Amina Y., 1

4months old Amina is the third child of the family. Growing up with her siblings and parents in a 1 room house. Her parents are farmers who do their business during rainy season. The parents hope to get her treated and help her live a normal life like every other child. The child was delivered at a primary health centre. Mother noticed the child passing urine with feaces. Following discovery from the mother, the child was taken to Barau Dikko Teaching Hospital, then referred to 44Army Ref hospital where a doagnosis of Anorectal Malformation was made. The patient's family could not pay for the surgery and went home burdened. It was during one of their visit to the mosque a Helpster voluteer shared flyers telling them about free treatment for children and under deserved families. They presented at Epsilon specialist and was admitted into Helpster program.

Amina Yau, a 10-month-old girl, was admitted on 21/7/2026 and diagnosed with an anorectal malformation with recto-vestibular fistula. She underwent a posterior sagittal anorectoplasty on 22/7/2026 after preoperative preparation, and the surgery was well tolerated with good initial recovery. During her admission she experienced wound breakdown, but with sitz baths and antibiotics she recovered well and was discharged on 4/8/2026 on oral amoxiclav, flagyl, and ibuprofen. She is now stable and able to pass stool per rectum, and her caregivers are joyful as she continues regular pediatric surgery clinic follow-up to prevent complications.

Amina Yau is an 8-month-old female infant born with anorectal malformation, specifically an imperforate anus with a low-type Rectovestibular fistula. Due to incomplete development of the anal canal and external anal opening, she is unable to pass stool per rectum and instead defecates through an abnormal connection between the rectum and the vaginal vestibule. This condition is a medical emergency that requires immediate surgical intervention within the first 24 to 48 hours of life to prevent fatal complications. Without prompt treatment, newborns face severe risks of life-threatening bowel obstructions, systemic infections, and internal tearing. This fistula allows fecal material to exit via the vagina, leading to continuous soiling, risk of recurrent urinary tract infections, and perineal skin irritation. At present, Amina is feeding well and gaining weight, but without surgical correction she remains at risk for ascending infection, fecal incontinence, and psychosocial complications as she grows older. The definitive corrective procedure recommended for her condition is a Posterior Sagittal Anorectoplasty (PSARP) to separate the gastrointestinal and urogenital tracts, reconstruct the anus in the normal anatomical position, and improve her long-term bowel function and quality of life. The prognosis is good, however there are risks of post operative complications like wound breakdown, strictures and fistulas.