Bucket handle malformation seen in Imperforate anus

  • A bucket handle malformation is a clinical feature seen in perineal fistula
  • Perineal fistula is a ‘low’ type of anorectal malformation
  • Here the rectum opens to the skin through a small opening anterior to the normal position of the anal sphincter
  • In some cases, a bridge of skin is seen across the fistula
  • A probe can be passed under this skin tag
  • Such a skin tag is known as ‘bucket handle malformation’

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