Anovestibular fistula with normal anus

Banu, Tahmina; Hannan, Jafrul; Hoque, Mozammel; Aziz, Mostafa A. Abd; Lakhoo, Kokila

doi:10.1016/j.jpedsurg.2007.10.035

Cited by 14 publications

(12 citation statements)

References 17 publications

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“…The reported incidence is 2.24% to 7.1% of all anorectal malformations (ARFs) [1][2][3][4]. In this study, we identified 182 cases of RVFNA of the 1274 cases with ARF treated surgically in our hospital during the past 10 years.…”

Section: Discussionmentioning

confidence: 99%

Rectovestibular fistula with normal anus: a simple resection or an extensive perineal dissection?

Zhang

Zhou

et al. 2010

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Rectovestibular fistula with normal anus: a simple resection or an extensive perineal dissection?

Zhang

Zhou

et al. 2010

Journal of Pediatric Surgery

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“…They reported 27 cases without recurrence. While Banu et al, 12 who used the same technique, reported 5 recurrences in 22 cases. In these patients, definitive surgery was done too early after Fig.…”

Section: Discussionmentioning

confidence: 91%

The Surgical Management of H-Type Rectovestibular Fistula: A Novel Modification

Wang

et al. 2015

Eur J Pediatr Surg

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Introduction H-type rectovestibular fistulas could be rare anorectal malformations or acquired diseases secondary to perianal infection. Various surgical procedures have been described in the literature, however the problem of recurrence still remains to be solved. We describe a novel modified surgical procedure and outcome in the management of these patients. Methods From 1999 to 2014, 14 patients who had an H-type rectovestibular fistula underwent the same surgical procedure performed by the same surgical team. Rectal-vestibular pull-through inside-out and endorectal mucosal advancement flap was used, including circumferential incision of the fistula from the opening on the rectal side, pulling the fistula inside-out, ligating the fistula, and mobilizing a rectal mucosal flap to cover the internal opening. Results All the patients have been followed-up for 12 months to 15 years with no recurrences and no incontinence. Conclusion Our surgical management is a simple, safe, and probable choice for the treatment of H-type rectovestibular fistula with favorable outcomes.

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“…Many cases of this type of ARM have been reported, but cases co-occurring with vulvar abscesses have been reported less frequently 7,11,12. Passing of feces from the vagina is the main manifestation of this type of ARM, and this manifestation is sometimes misunderstood by primary care physicians.…”

Section: Discussionmentioning

confidence: 99%

“…Tsuchida, et al5 suggested that a failure of completion of the urorectal and uroanal septum with excessive posterior fusion of the genital folds may cause a patent or partly patent anorectal-vestibular fistula despite the formation of a normal anal opening. On the other hand, Banu, et al12 suggested that acquired conditions such as food habits, poverty, and malnutrition in underdeveloped countries might play a role in the development of fistulae. The condition exhibits an uneven geographic distribution and is more prevalent in Asian countries including Japan,5 India,13 Bangladesh,12 and China14 than in Western countries.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, Banu, et al12 suggested that acquired conditions such as food habits, poverty, and malnutrition in underdeveloped countries might play a role in the development of fistulae. The condition exhibits an uneven geographic distribution and is more prevalent in Asian countries including Japan,5 India,13 Bangladesh,12 and China14 than in Western countries. It has also been described as an acquired condition in patients with HIV 15-17.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2010

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PurposeWe investigated whether infantile vulvar abscesses are predictable features of rectovestibular fistula with a normal anus.Materials and MethodsA retrospective analysis of five infants with vulvar abscesses and rectovestibular fistulae with normal anuses was performed.ResultsFour 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.ConclusionThis 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.

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Anovestibular fistula with normal anus

Cited by 14 publications

References 17 publications

Rectovestibular fistula with normal anus: a simple resection or an extensive perineal dissection?

Rectovestibular fistula with normal anus: a simple resection or an extensive perineal dissection?

The Surgical Management of H-Type Rectovestibular Fistula: A Novel Modification

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

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