Where Is the Vagina? A Rectal Stricture after a Presumed Cloacal Repair Turns Out to be the Mobilized Vagina and a Missed High Rectovaginal Fistula

We present a case of a rare complication in a 10-month-old female referred to our institution for an anal stricture after primary cloacal repair as an infant. Multimodal imaging, careful physical exam, and endoscopic evaluation revealed her vagina had been pulled through to the location of her anal...

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Detalles Bibliográficos
Autores principales: Jacobs, Shimon E., Tiusaba, Laura, Bokova, Elizaveta, Al-Shamaileh, Tamador, Russell, Teresa L., Varda, Briony K., Feng, Christina, Badillo, Andrea T., Levitt, Marc A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550519/
https://www.ncbi.nlm.nih.gov/pubmed/36225532
http://dx.doi.org/10.1055/s-0042-1755538
Descripción
Sumario:We present a case of a rare complication in a 10-month-old female referred to our institution for an anal stricture after primary cloacal repair as an infant. Multimodal imaging, careful physical exam, and endoscopic evaluation revealed her vagina had been pulled through to the location of her anal sphincter muscle complex. We describe the correction of this problem, including identification of her rectum.

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