Vestibular anus presenting as a case of primary infertility: an unusual adult presentation

Imperforated anus and ectopic anal orifices are almost always detected in infancy or early childhood. The oldest reported case of imperforated anus in modern literature was in a 7 year old girl. We report a case of vestibular anus in a 23 year old Saudi lady who presented with primary infertility. She was discovered to have an imperforated anus and was managed surgically