Anorectal-vestibular fistula without an imperforate anus in female infants: report of three cases
Lee, Y-Shun.; Chu, S-Ming.; Luo, C-Cheng.; Hwang, C-Shen.; Hsueh, C.
Chang Gung Medical Journal 28(6): 421-424
2005
ISSN/ISBN: 2072-0939 PMID: 16124158 Document Number: 588323
An anorectal-vestibular fistula without an imperforate anus in female infants is a rare clinical condition. This report is based on a series of 3 female infants who had fistulous communication between the bowel and the vestibule coexisting with a normal anus. Redness of the external genitalia over the labia major was the initial symptom in all 3 cases, and a suppurative discharge of pus mixed with stools was also found at the orifice of the fistula. Based on our experience, initial surgery with a double-barrel colostomy followed by a sequential fistulectomy might be safe and curative. We also review the related literature for the pathogenesis.