Rectovestibular fistula with absent distal vagina in an adolescent Nigerian girl

Adejuyigbe, O; Sowande, OA; Olayinka, O.S.; Fasubaa, OB

doi:10.1053/jpsu.2002.35419

Cited by 14 publications

(11 citation statements)

References 5 publications

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“…The treatment modalities used in the 22 cases of vestibular fistula with absent vagina, reported in the literature [3,[6][7][8][9]11,[15][16][17][18], included 8 vaginal replacements with rectum, 3 replacements with sigmoid, 3 successful vaginal mobilization in cases of distal vaginal atresia, 2 replacements with small bowel, and 1 with skin flaps. No information was found related to the vaginal reconstruction in the remaining 5 cases.…”

Section: Discussionmentioning

confidence: 99%

“…When treated appropriately, these patients have an excellent functional prognosis for bowel and urinary control [1]. In a review of the literature, we found that associated gynecologic defects are rarely mentioned [2][3][4][5][6][7][8][9][10][11].…”

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confidence: 99%

“…Summary of vestibular fistula and absent vagina cases published in the literature[3,[6][7][8][9]11,[15][16][17][18] …”

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confidence: 99%

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Rectovestibular fistula—rarely recognized associated gynecologic anomalies

Levitt

Bischoff

Breech

et al. 2009

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Rectovestibular fistula—rarely recognized associated gynecologic anomalies

Levitt

Bischoff

Breech

et al. 2009

Journal of Pediatric Surgery

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“…The RVF represents the most common type of defect seen in girls with anorectal malformations and when it occurs in association with absent vagina, the lesion can be missed if proper clinical evaluation is not done [5]. Patients with low anorectal anomalies, e.g.…”

Section: Discussionmentioning

confidence: 99%

Rectovestibular fistula with vaginal malformations

et al. 2005

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Anorectal malformations are associated with other anomalies among which vaginal malformations are occasionally encountered and may go unnoticed by the primary physician. Between January 1998 and December 2003, 563 cases of anorectal malformations were managed in Pediatric Surgery Department, Chittagong Medical College & Hospital, Chittagong, Bangladesh. Among these, five cases of rectovestibular fistula were associated with vaginal malformations. In this retrospective study age, physical findings, operative findings and procedures, outcome of operation and postoperative follow-up were evaluated. Mean age at presentation was 8.67 years (range 2 months to 17 years). All cases referred as rectovaginal fistula and vaginal anomalies (atresia to agenesis) were detected after thorough examination. Initial pelvic colostomy was done in all patients. Cases 1, 3 and 4 had distal vaginal agenesis and underwent posterior sagittal anorectovaginoplasty. In case 5, atretic vaginal duplication was found with didelphic hypoplastic uterus and absent left kidney. Case 2 (vaginal atresia) operated elsewhere is waiting for definitive surgery. Colostomy closure was done in four cases. The third patient had already married and conceived. Bowel habits are regular in all except the second patient. In females, a thorough understanding of anorectal malformations is necessary to identify the association with vaginal anomalies and awareness of this association will lead to earlier diagnosis and appropriate operative measures.

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“…Mayer-Rokitansky-Küster-Hauser syndrome, defined by vaginal agenesis and an absent or rudimentary uterus, occurs in 1 in 5,000 live female births (1). Distal vaginal agenesis, occurring in association with a rectovestibular fistula or urologic abnormalities, has also been reported in the literature (2,3). Vaginal outlet obstruction resulting from a transverse vaginal septum or imperforate hymen can resemble vaginal agenesis, but excision of the relatively thin septum or hymen is all that is required (4).…”

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confidence: 99%