Infantile Vulvar Abscess with a Normal Anus: A Suspicious Sign of Rectovestibular Fistula

PURPOSE: We investigated whether infantile vulvar abscesses are predictable features of rectovestibular fistula with a normal anus. MATERIALS AND METHODS: A retrospective analysis of five infants with vulvar abscesses and rectovestibular fistulae with normal anuses was performed. RESULTS: Four cases had a left vulvar abscess, and in one case the vulvar abscess was on the right side. All caregivers reported passage of stool from the vagina. The fistulae were almost uniformly located from the vestibule to the rectum above the anal dentate line, observable by visual inspection and probing under anesthesia. The first two cases were treated with division and closure of the fistulae after a diverting loop colostomy, and the remaining three cases with fistulotomy and curettage. There was no recurrence during the median follow-up period of 38 months. CONCLUSION: This unique rectovestibular fistula should be suspected in female infants with vulvar abscesses, especially when parents report passage of stool from the vagina. Fistulotomy and curettage may be an initial treatment and effective as a temporary diverting colostomy and delayed repair of the fistula.

Bilateral fibular hemimelia with recto-vestibular fistula associated with amniotic bands.

Fibular Hemimelia is a rare congenital disorder of deficiency to complete absence of fibula. It has been associated with post axial skeletal anomalies like shortening of femur, absence of lateral rays of foot and syndactyle, polydactyle etc. We report this case because of associated amniotic constriction bands over both the forearm, suggesting amniotic bands may be one of the causal factors of Fibular Hemimelia due to insult to the growing limb bud.

Rectal atresia with complete absence of posterior vaginal wall [large rectovaginal fistula] a case report

A case report of congenital anorectal malformation in 21 years old female patient is presented who had history of passing urine and stools per vaginum since birth. Examination under anesthesia revealed absence of anal orifice. Ultrasonography reported a big gas filled mass in the lower abdomen. Barium contrast study was inconclusive. The diagnosis made was high anorectal malformation with big recto vaginal fistula

Fístulas anastomóticas rectovaginales o vesicales o ambas, secundarias al uso de sutura mecánica en cirugía del recto / Rectovaginal and vesical anastomotic fistulas secondary to mechanical suture in rectal surgery

Las suturas mecánicas se han generalizado en la cirugía digestiva, y son parte de la técnica habitual en las resecciones rectales bajas. Los autores presentan dos casos de fístulas anastomóticas, una rectovesicovaginal y otra rectovesical, complicaciones inusuales del stapler circular en la reconstrucción del tránsito digestivo. El interés de la misma radica en la jerarquía de la complicación, lo inhabitual del reconocimiento intraoperatorio y las dificultades del manejo terapéutico. Se analizan las posibles causas y su profilaxis, aportándose una revisón del tema

Reparación simultánea de fístula rectovaginal tipo IV (cloaca) y deformación de tipo "ano ectópico". Presentación de un caso y revisión de literatura / Simultaneus repair of type IV recto vaginal fistula (cloaca) and \"ectopic anus\" de formity. Report of a case and review of literature

Mujer de 40 años de edad con una fístula rectovaginal (cloacas) de siete años de evolución, asociada a una deformidad de "ano ectópico". El paso inicial de la operación fue la craeción de dos colgajos de espesor total en forma de "V". Subsecuentemente, se realizó una reparación longitudinal. La elevación inicial de los colgajos facilita la identificación de las estructuras musculares necesarias para la reparación. La sobreposición de los colgajos como paso final de la operación corrige la deformación de "ano ectópico". Los pasos esenciales del procedimiento se ilustran y se describen en detalle

Rectal duplication.

Duplications of the alimentary tract are of a great rarity, particularly so in the rectum. Because of its rarity, the difficulty of making a correct diagnosis and of selection of proper approach for treatment, this entity bears a special significance. The present case report deals with a female newborn who presented with imperforate anus and a rectovestibular fistula and a mass prolapsing at the introitus. Complete excision of the mass was carried out through the perineal approach and the child then underwent, a PSARP for the correction of the rectal anomaly. Histology confirmed the mass to be a rectal duplication.

Diagnóstico y tratamiento de las fístulas rectovaginales / Diagnosis and treatment of the recto-vaginal fistulae

Se revisa el tema de las fístulas rectovaginales, clasificándolas en altas y bajas y analizando sus causas entre las que se destacan las traumáticas de origen obstétrico, cuya frecuencia ha disminuido en las últimas décadas (atención médica del parto y aumento de cesáreas). En cambio, las causas neoplásica y actínica han aumentado proporcionalmente. Se consideran algunos aspectos clínicos y diagnósticos orientados a una clasificación de complejidad que permita elegir la técnica de reparación quirúrgica más adecuada a cada caso. Se mencionan las diversas alternativas quirúrgicas existentes, haciendo hincapié en la importancia de la preparación preoperatoria

Fistulas genitais: estudo de 21 casos / Genital fistulae

Tendo como base um estudo retrospectivo de 21 casos de fistulas genitais, foram analisados alguns aspectos considerados importantes nessa patologia. As mulheres acima dos 30 anos e multíparas foram as mais acometidas. As fistulas mais comuns foram as genito-urinárias e o parto vaginal foi o fator mais apontado como causa. Os meios diagnósticos utilizados foram os mais variados assim como o tipo do tratamento cirúrgico empregado. A recidiva foi observaçäo frequente.

Abscesso anorretal simulando bartolinite - Relato de um caso / Anorectal abscess simulating bartholin's abscess - A case report

It's related the occurence of rare case of abscess ano-rectal which is localized anterior the anus simulating Bartholin's Abscess that was drained by the third part inferior of the right of the vulva. The diagnosis was established by Metylene Blue in infection though vulvar orifice at the time when bartolinectomy was being considered. the analysis of this case is important in order to enphosize the proctologic background in Bartholin's Abscess case wainlly if there is prolonged drainage over ten days. We consider the elements of the differential diagnosis and the behaviour of the gynecologyst in those cases