The diagnostic impression was anorectal atresia +/- meconium peritonitis. The fetus was delivered two days later and an imperforate anus was confirmed (a small cutaneous fistula was noted). Further, some degree of lumbar spine dysraphism was also noted.
An anus was created. A follow-up renal examination demonstrate a hypertrophied left kidney (48mm) and a very small right kidney (25mm), round, and in an ectopic (right paraumbilical) location