Where Is the Vagina? A Rectal Stricture after a Presumed Cloacal Repair Turns Out to be the Mobilized Vagina and a Missed High Rectovaginal Fistula.

anorectal malformation cloaca cloacagram imperforate anus rectovaginal fistula

Journal

European journal of pediatric surgery reports
ISSN: 2194-7619
Titre abrégé: European J Pediatr Surg Rep
Pays: Germany
ID NLM: 101620104

Informations de publication

Date de publication:
Jan 2022
Historique:
received: 13 01 2022
accepted: 10 07 2022
entrez: 13 10 2022
pubmed: 14 10 2022
medline: 14 10 2022
Statut: epublish

Résumé

We present a case of a rare complication in a 10-month-old female referred to our institution for an anal stricture after primary cloacal repair as an infant. Multimodal imaging, careful physical exam, and endoscopic evaluation revealed her vagina had been pulled through to the location of her anal sphincter muscle complex. We describe the correction of this problem, including identification of her rectum.

Identifiants

pubmed: 36225532
doi: 10.1055/s-0042-1755538
pii: EJPS-22-0647-CR
pmc: PMC9550519
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e145-e147

Informations de copyright

The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ).

Déclaration de conflit d'intérêts

Conflict of Interest None.

Références

J Pediatr Surg. 2020 Feb;55(2):257-260
pubmed: 31784103
J Urol. 2002 Jun;167(6):2548-51; discussion 2551
pubmed: 11992086
Pediatr Surg Int. 2020 Nov;36(11):1299-1307
pubmed: 32980932
Arch Dis Child. 2011 Nov;96(11):1072-6
pubmed: 21262748
Orphanet J Rare Dis. 2011 Aug 16;6:56
pubmed: 21846383
J Pediatr Surg. 2015 Aug;50(8):1245-50
pubmed: 25913268
Pediatr Surg Int. 2005 Apr;21(4):264-9
pubmed: 15726389
Ann Surg. 1998 Sep;228(3):331-46
pubmed: 9742916
J Pediatr Surg. 2021 Aug;56(8):1449-1453
pubmed: 34049690
Semin Pediatr Surg. 2020 Dec;29(6):150995
pubmed: 33288142
Birth Defects Res C Embryo Today. 2014 Dec;102(4):382-400
pubmed: 25546370

Auteurs

Shimon E Jacobs (SE)

Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States.

Laura Tiusaba (L)

Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States.

Elizaveta Bokova (E)

Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States.

Tamador Al-Shamaileh (T)

Department of General Surgery, Division of Pediatric Surgery, King Hussain Cancer Center, Amman, Jordan.

Teresa L Russell (TL)

Department of Urology, Children's National Hospital, Washington, District of Columbia, United States.

Briony K Varda (BK)

Department of Urology, Children's National Hospital, Washington, District of Columbia, United States.

Christina Feng (C)

Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States.

Andrea T Badillo (AT)

Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States.

Marc A Levitt (MA)

Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States.

Classifications MeSH