Diagnosis of anorectal malformations could be done clinically in nearly all cases due to apparent appearance of abnormal and opening either imperforate anus or misplaced anal opening or fistula. In about 80-90% of cases, clinical evaluation allows enough evidence to reach a decision about the diagnosis of low and high type anomalies. Both of anomalies have different line of management. The clinical evaluation includes:
The algorithm in boy and girl is different.