Utero vaginal malformations: A trap for the unsuspecting surgeon

Tolete-Velcek, F.; Hansbrough, F.; Kugaczewski, J.; Coren, Charles; Klotz, Donald H.; Price, Angeline; Laungani, Gobind; Kottmeier, Peter K.

doi:10.1016/s0022-3468(89)80527-5

Cited by 30 publications

(10 citation statements)

References 14 publications

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“…Patients with low anorectal anomalies, e.g. vestibular fistula, are more likely to have uterovaginal malformations [2] and these patients have a prominent midline groove and noticeable anal dimple [3]. Uterovaginal malformations may also occur in association with other defects besides anorectal anomalies and are called Mayer-Rokitansky-Kuster-Hauser syndrome when they are associated with renal or skeletal anomalies [2].…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

“…However, it could be a trap for the unsuspecting surgeon [2]. A vestibular fistula and vaginal malformations including atresia, agenesis and part of other uterovaginal malformations also present with two orifices in the perineum [3,4].…”

Section: Introductionmentioning

confidence: 99%

Rectovestibular fistula with vaginal malformations

et al. 2005

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“…Association of vertebral, anal, cardiac, tracheal, esophageal, renal, and limb type of anomalies is well recognized with H-type anorectal fistula. Although, there are reports of rectovestibular fistula with MRKH syndrome [4,5], association with H-type anovestibular fistula has not been reported in English language literature till now. We report one such case and discuss the management.…”

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confidence: 94%

Mayer-Rokitansky-Kuster-Hauser syndrome with H-type anovestibular fistula

Mahajan

Venkatesh

Bawa

et al. 2009

Journal of Pediatric Surgery

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“…Abnormalities in the genital tract are frequently associated with anorectal or cloacal malformations [1,2]. Girls with an anorectal malformation usually have a rectovaginal fistula.…”

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confidence: 99%

“…A fistulae to the vagina most commonly terminates in the lower third of the vagina, although it may terminate anywhere from the fornix to near the hymen [3]. Vaginal anomalies such as agenesis or duplication with uterine abnormalities may occur with anorectal malformations [1].…”

mentioning

confidence: 99%

Fistula between rectum and duplicated vagina in an infant with anorectal malformation and biliary atresia

Haliloğlu

Eryilmaz

Karnak

et al. 2003

Pediatric Radiology

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A 2-month-old girl was found at birth to have duodenal atresia, anorectal malformation and patent ductus arteriosus. Side-to-side duodenojejunostomy and transverse colostomy were performed. Biliary Fig. 1 a Distal colonography demonstrates that the rectum terminates in a fistula to the left hemivagina, and both vaginae are filled with contrast material (arrows). A cervical impression is seen at each apex. b Demonstration of the vaginal septum (arrow)

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Utero vaginal malformations: A trap for the unsuspecting surgeon

Cited by 30 publications

References 14 publications

Rectovestibular fistula with vaginal malformations

Rectovestibular fistula with vaginal malformations

Mayer-Rokitansky-Kuster-Hauser syndrome with H-type anovestibular fistula

Fistula between rectum and duplicated vagina in an infant with anorectal malformation and biliary atresia

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