An unusual variant of rectal atresia with rectovestibular fistula

Introduction Rectal atresia is a rare subtype of anorectal malformations in which the patients are born with a normal anal canal but have complete atresia located few centimeters proximal to the dentate line. We present the transanal end-to-end rectoanal anastomosis as a surgical technique for the management of these patients, highlight the outcomes, and emphasize on some clinical tips. Methods Four patients were diagnosed as having rectal atresia on clinical and radiological basis. All of them underwent single loop low sigmoid colostomy in the first 24 h. After 6 months, transanal end-to-end rectoanal anastomosis was performed followed by closure of the stoma 3 months later. Results The 2 cases that are older than 3 years demonstrated normal continence and are clean between bowel movements, while the other two showed good anal tone and passing stools between 1–3 times daily, being dry in between. Conclusion Transanal recto-anal anastomosis allows a safer route of anatomical reconstruction of the anorectum, therefore avoiding the potential complications associated with the other more invasive approaches.

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“…Only few exceptional cases that showed fistula communications, eg. rectourethral [ 9 ], rectovestibular [ 10 ], and rectolabial fistulae [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Transanal recto-anal anastomosis for treatment of rectal atresia: a review of 4 cases

2023

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“…Wingspread classification of the anorectal malformations classified rectal atresia under the group of rarities (2) . Rectal atresia is different from imperforated anus and anal atresia because the anus and anal canal are essentially normal, however, a segment of the rectum is atretic only (4).…”

Section: Discussionmentioning

confidence: 99%

“…Rectal atresia is one of the rare variant of anorectal malformations according to Wingspread classification; its incidence rate is 1-2% of all anorectal anomalies with male predominance. Blind ended rectum without any fistulous communication and normally developed anal canal and sphincter were usually found in such variety (2,3) . So, we studied a case of rectal atresia associated with proximal and distal congenital rectovaginal fistula.…”

Section: Introductionmentioning

confidence: 99%

Rectal Atresia with Congenital Rectovaginal Fistula : A Rare Variant of Anorectal Malformations

Al-Ameer

Jafarli

Aljubab

2017

Egyptian Journal of Hospital Medicine

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Background: rectal atresia is a rare variant of anorectal malformations. The presence of fistulous communication between the rectum and the urogenital system in case of rectal atresia is even rarer to occur. Aim of the work: this article aimed to describe a case of rectal atresia in a female infant associated with proximal and distal congenital rectovaginal fistula. Results: the clinical, radiological findings and the surgical management were discussed . Conclusion: the case demonstrated the possibility to find a rectovaginal fistula in rectal atresia, and the possibility of recurrence after surgical intervention.

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“…[1] There are many case reports in the literature describing the occurrence of rectal atresia with urinary fistula in a male baby. [23] The presence of rectal atresia in a female with associated rectovestibular fistula is an extremely rare condition and has been reported once earlier. [4] We present one such case and its management.…”

Section: Introductionmentioning

confidence: 99%

Congenital rectovestibular fistula associated with rectal atresia: A rare occurrence

Khan

Chana

2013

J Indian Assoc Pediatr Surg

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An unusual variant of rectal atresia with rectovestibular fistula

Cited by 6 publications

References 4 publications

Transanal recto-anal anastomosis for treatment of rectal atresia: a review of 4 cases

Transanal recto-anal anastomosis for treatment of rectal atresia: a review of 4 cases

Rectal Atresia with Congenital Rectovaginal Fistula : A Rare Variant of Anorectal Malformations

Congenital rectovestibular fistula associated with rectal atresia: A rare occurrence

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