All of the following are suggestive of low lesion in Anorectal malformation except ?: (A) Bucket handle deformity, (B) Midline raphe fistula, (C) Meconuria, (D) Perineal fistula
Answer is C. Clinical clues suggestive of low lesion 1. Bucket handle deformity - Prominent midline skin tag stem tag below which one can pass an instrument 2. Midline Raphe fistula 3. Perineal fistula - Presence of meconium coming out through a small opening anterior to anal dimple 4. Anal stenosis - Narrow anal canal 5. Anal membrane - Very thin epithelial membrane through which one can see meconium Meconuria and Flat bottom are signs suggestive of High lesion .