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

2017 ◽  
Vol 69 (7) ◽  
pp. 2795-2797
Author(s):  
Ali H. Al-Ameer ◽  
Ilhama Jafarli ◽  
Abdulwahab S. Al-Jubab
Keyword(s):  
Rare Variant ◽  
Rectovaginal Fistula ◽  
Anorectal Malformations ◽  
Rectal Atresia

scholarly journals Rectovaginal fistula: A common diagnostic error with significant consequences in girls with anorectal malformations

2002 ◽  
Vol 37 (7) ◽  
pp. 961-965 ◽  
Author(s):  
Nelson G. Rosen ◽  
Andrew R. Hong ◽  
Samuel Z. Soffer ◽  
George Rodriguez ◽  
Alberto Peña
Keyword(s):  
Rectovaginal Fistula ◽  
Anorectal Malformations ◽  
Diagnostic Error

Perineal Choristoma and Atresia Ani in 2 Female Holstein Friesian Calves

2012 ◽  
Vol 50 (1) ◽  
pp. 156-158 ◽  
Author(s):  
D. Binanti ◽  
I. Prati ◽  
V. Locatelli ◽  
D. Pravettoni ◽  
G. Sironi ◽  
...  
Keyword(s):  
Congenital Anomaly ◽  
Imperforate Anus ◽  
Rectovaginal Fistula ◽  
Striated Muscle ◽  
Fibrous Tissue ◽  
Anorectal Malformations ◽  
The Other ◽  
Holstein Friesian ◽  
Striated Muscle Fibers ◽  
Nephrogenic Rests

Atresia ani, a congenital anomaly of the anus, can be associated with other types of malformation. Two female Holstein Friesian calves had imperforate anus, rectovaginal fistula, and perineal choristomas. In one case, the choristoma was composed of mature adipose and fibrous tissue with nephrogenic rests. In the other calf, the choristoma consisted of fragments of trabecular bone coated by cartilage and containing marrow, mixed with mature adipose and fibrous tissue, striated muscle fibers, nerves, and vessels. This combination of malformations resembles the association of anorectal malformations and perineal masses in children.

Rectal atresia and stenosis: unique anorectal malformations

2012 ◽  
Vol 47 (6) ◽  
pp. 1280-1284 ◽  
Author(s):  
Miller Hamrick ◽  
Bala Eradi ◽  
Andrea Bischoff ◽  
Emily Louden ◽  
Alberto Peña ◽  
...  
Keyword(s):  
Anorectal Malformations ◽  
Rectal Atresia

scholarly journals Clinical evaluation of fecal continence after posterior sagittal anorectoplasty in anorectal abnormalities

2004 ◽  
Vol 57 (5-6) ◽  
pp. 284-288 ◽  
Author(s):  
Svetlana Bukarica ◽  
Smiljana Marinkovic ◽  
Vesna Zrnic-Pekovic ◽  
Dusanka Dobanovacki ◽  
Vladimir Borisev ◽  
...  
Keyword(s):  
Clinical Evaluation ◽  
Surgical Procedure ◽  
Anorectal Malformations ◽  
Fecal Continence ◽  
Posterior Sagittal Anorectoplasty ◽  
Perineal Fistula ◽  
Secondary Procedure ◽  
Rectal Atresia ◽  
Vestibular Fistula ◽  
Bowel Movements

Introduction Posterior sagittal anorectoplasty (PSAKP) was introduced in 1982, by Repa and de Vries, as a new surgical procedure for patients with anorectal malformations. It was supposed to provide better chance for normal fecal continence. Meterial and methods Between 1991 and 2000, 50 patients with anorectal abnormalities underwent PSARP. In 43 patients PSARP was primary operation and in 7 it was a secondary procedure. At the time of study patients were not younger than 3, and not older than 13 years. Patients and their parents were interviewed, and fecal continence was graded as follows: voluntary bowel contractions, soiling less than once a week, soiling more than once a week, daily soiling and constipation. Results Amongst patients who underwent primary surgical correction, 74% had voluntary bowel contractions. Babies with perineal fistula, rectal atresia and stenosis presented with best results in term of voluntary bowel contractions (100%), as with vestibular fistula, ten of eleven patients. Only 18% of patients (atresia without fistula, vestibular fistula and bulbourethral fistula) had soiling. Patients with perineal fistula and rectal atresia and stenosis 40% were totally continent (voluntary bowel movements without soiling). The most frequent sequel was constipation, which appeared in 48%, without coincidence with frequency of soiling. The problem of constipation was surprisingly more frequent in patients with expected better prognosis in fecal continence. Conclusion Although PSARP offers a good esthetic result, only two third of patients have voluntary bowel movements and in about half there exists a problem with constipation, with necessary further treatment.

scholarly journals LIMITATIONS OF CROSS TABLE PRONE LATERAL X-RAY/INVERTOGRAM IN DIAGNOSING OF TYPES OF ANORECTAL MALFORMATIONS

2020 ◽  
pp. 41-43
Author(s):  
Renu Kushwaha ◽  
Santosh Kushwaha ◽  
Rachna Bhatnagar ◽  
U.C Singh ◽  
Deepak Singh ◽  
...  
Keyword(s):  
Anorectal Malformation ◽  
Pediatric Surgery ◽  
Anorectal Malformations ◽  
Time Frame ◽  
Posterior Sagittal Anorectoplasty ◽  
Diagnostic Dilemma ◽  
X Ray ◽  
Medical College ◽  
Rectal Atresia ◽  
Anorectal Atresia

INTRODUCTION Anorectal malformation is the very common congenital malformation with the incidence of 1 in 5000 (1,2). The diagnosis is made on perineal examination which is further corroborated by cross table prone lateral x-ray or invertogram to find out the level of anorectal atresia. The cross table prone lateral x-ray is considered better investigation tool as compared to invertogram for demonstration of the level of rectal atresia in neonates. In prone cross table lateral x-ray, effect of gravity is negated, positioning of the baby is more comfortable and the rectal gas shadow is better delineated. AIM To evaluate the sensitivity and specificity of cross table prone lateral x-ray in labelling a patient of anorectal malformation as high or low. MATERIAL AND METHODS The study was conducted in retrospective manner. Radiological materials, clinical and operative records of the neonates with anorectal malformation operated in Department of Surgery, Pediatric Surgery unit, BRD Medical College over a period of 2 years (June 2017 to July 2019) were retrieved. Total 100 neonates with anorectal malformation were admitted in our hospital during this time frame. Out of these patients, colostomy was done in 79 patients, anoplasty was performed in 18 cases. Two patients underwent primary posterior sagittal anorectoplasty while 1 patient had ileostomy done. During this study, we came across four unusual cases of low anorectal malformation where the x-ray picture did not coincide with the clinical diagnosis. CONCLUSION Diagnosis of anorectal malformation is clinical but to diagnose the type of anorectal malformation it requires both clinical as well as radiological workup. In case of diagnostic dilemma, our clinical interpretation should lead the diagnosis as none of the x-ray modality has 100% sensitivity.

scholarly journals Rare case of rectovaginal fistula in adults

2021 ◽  
Vol 8 (6) ◽  
pp. 1934
Author(s):  
Indrani Roy ◽  
Nithya Shekar ◽  
Pran Singh Pujari
Keyword(s):  
Rectovaginal Fistula ◽  
Obstetric Fistula ◽  
Anorectal Malformations ◽  
Fistula Formation ◽  
Anorectal Angle ◽  
Sphincter Defect ◽  
Internal Fistula ◽  
Martius Flap ◽  
Perineal Region ◽  
Pass Through

Rectovaginal fistula is an abnormal epithelial lined connection between the rectum and the vagina. The term anovaginal fistula may also be used when the internal fistula opening is found below the anorectal angle. Bowel contents leak through the fistula, allowing gas or stool to pass through the vagina. It may be congenital or acquired. Congenitally these are the anorectal malformations which affect the females when present since birth. Here, we have discussed the cases of adult rectovaginal fistula which the women had developed after vaginal delivery, the obstetric fistula. Patient presented with passage of stool from the vagina after the delivery. They were examined, assessed was successfully treated in our institution. Depending on the site of fistula formation, decision is taken for surgical approach and various techniques. Here the well-known Martius flap, which is based on bulbocavernosa muscle and pudendal artery has been used in both the cases. This flap is best used to repair fistula in the perineal region when there is no underlying sphincter defect.

Myxoid atypical fibroxanthoma: a challenging diagnosis of a rare variant: Case report

2020 ◽  
pp. 399-403
Author(s):  
Nikolina Stavrinou ◽  
Stavroula Papadopoulou ◽  
Georgia Mitropoulou ◽  
Helen Trihia ◽  
Ioannis Provatas
Keyword(s):  
Case Report ◽  
Rare Variant ◽  
Atypical Fibroxanthoma
Sign in / Sign up

Export Citation Format

Share Document