A 2-day old calf was presented at the Outdoor Clinic of Faculty of Veterinary and Animal Sciences, Gomal University. History reported abdominal pain and straining with unsuccessful attempts to defecate. Clinical examination revealed absence of the anal orifice, lack of a bulge sign at the anal site and dribbling of urine from the umbilicus.The case was diagnosed as atresia aniet recti with a patent urachus. After sedation, the blind terminal intestinal pouch was retracted through a caudal ventral midline laparotomy, incised to evacuate themeconium, and replaced in the pelvic canal. The rectum and anal orifice were then reconstructed using the cruciate flap incision technique at the anal site.Finally, the urachal duct was identified at the apex of the urinary bladder, and excised after ligating itclose to the bladder wall. The calf recovered uneventfully after a post-operative antibiotic and antipyretic cover for 7 days.
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