Management of Perineal Canal Anomaly
Overview
Pediatrics
Authors
Affiliations
A 6-year-old girl presented due to passage of stool through her vulva since birth. Examination revealed a fistulous tract between vestibule of the vagina and an otherwise normally formed anal canal. The tract was successfully excised through an anterior sagittal approach with a defunctioning sigmoid colostomy, which was closed 12 weeks later. The embryology, morbid anatomy, and treatment of this rare congenital anomaly are discussed along with a review of the literature.
Vestibulo-Rectal Pull Through in H-Fistula in Girls.
Bhaumik K, Das S, Chatterjee S J Indian Assoc Pediatr Surg. 2018; 23(4):182-185.
PMID: 30443111 PMC: 6182943. DOI: 10.4103/jiaps.JIAPS_59_18.
Infantile vulvar abscess with a normal anus: a suspicious sign of rectovestibular fistula.
Kim S, Park Y, Ahn S, Oh J, Han S Yonsei Med J. 2010; 51(5):717-21.
PMID: 20635446 PMC: 2908879. DOI: 10.3349/ymj.2010.51.5.717.
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PMID: 17461501 PMC: 4146977. DOI: 10.3748/wjg.v13.i13.1980.
Transanal approach in repairing acquired rectovestibular fistula in females.
Chen Y, Zhang T, Zhang J World J Gastroenterol. 2004; 10(15):2299-300.
PMID: 15259088 PMC: 4724962. DOI: 10.3748/wjg.v10.i15.2299.