Four orifices in the perineum of a girl with imperforate anus : uterus didelphys with rectovestibular fistula or variant cloaca
Other Title(s)
أربع فوهات في عجان طفلة لديها عدم انثقاب شرج : تضاعف رحمي مهبلي مع ناسور مستقيمي دهليزي أو شكل مختلف لتشوه المقذرة
Author
Source
Journal of the Arab Board of Health Specializations
Issue
Vol. 17, Issue 4 (31 Dec. 2016), pp.42-47, 6 p.
Publisher
The Arab Board of Health Specializations
Publication Date
2016-12-31
Country of Publication
Syria
No. of Pages
6
Main Subjects
Topics
Abstract EN
In this report, we describe the case of two girls who had imperforate anus with four orifices in the perineum.
First case, 11-month-old girl represented with imperforate anus and rectovestibular fistula and a colostomy done previously.
Second case, 18-month-old girl had an iatrogenic anovaginal fistula after anorectolplasty.
In both cases, the clinical examination and other investigations showed an imperforate anus with rectovestibular fistula, wide urethral meatus, and uterus didelphys.
This malformation was combined in the both cases with congenital pouch colon.
For the first girl, posterior sagittal anorectoplasty was done with an anastomosis of the two vaginas at the midline in one stage, whereas recto-vaginal fistula repair and vaginal anastomosis were done for the second child.
The colostomy closure was done 3 months later and no complications were reported.
The precise clinical examination and other investigations are very important to diagnose the genital malformations that are associated with the anorectal malformations and to treat them in one stage.
And the question remains: is the described anomaly in this report auterus didelphys with a rectovestibular fistula or is it a variant cloaca associated with uterus didelphys and congenital pouch colon whereas the urethral meatus, hemi-vaginal orifices and rectal fistula are conjoined in the very wide and short urogenital sinus ?.
American Psychological Association (APA)
Batal, Muhammad Muhannad. 2016. Four orifices in the perineum of a girl with imperforate anus : uterus didelphys with rectovestibular fistula or variant cloaca. Journal of the Arab Board of Health Specializations،Vol. 17, no. 4, pp.42-47.
https://search.emarefa.net/detail/BIM-773557
Modern Language Association (MLA)
Batal, Muhammad Muhannad. Four orifices in the perineum of a girl with imperforate anus : uterus didelphys with rectovestibular fistula or variant cloaca. Journal of the Arab Board of Health Specializations Vol. 17, no. 4 (2016), pp.42-47.
https://search.emarefa.net/detail/BIM-773557
American Medical Association (AMA)
Batal, Muhammad Muhannad. Four orifices in the perineum of a girl with imperforate anus : uterus didelphys with rectovestibular fistula or variant cloaca. Journal of the Arab Board of Health Specializations. 2016. Vol. 17, no. 4, pp.42-47.
https://search.emarefa.net/detail/BIM-773557
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 46-47
Record ID
BIM-773557