A case of a gluteus-localized ectopic anus on the right side is descri
bed. A P-month-old boy had a severe sacral anomaly with atrophy of the
right lower extremity and a pes equinus deformity. Transcutaneous mus
cle stimulation showed a well-developed muscle complex, and parasagitt
al muscle fibers have been localized obliquely. Although he has severe
sacral anomalies, the posterior sagittal anorectoplasty procedure cou
ld be performed. This unique case provides a good demonstration of not
only the ectopically localized anus but also the ectopically localize
d muscle complex. Copyright (C) 1996 by W.B. Saunders Company