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CC BY 4.0 · European J Pediatr Surg Rep. 2022; 10(01): e145-e147
DOI: 10.1055/s-0042-1755538
Case Report

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

Shimon E. Jacobs 
1   Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States
,
Laura Tiusaba
1   Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States
,
Elizaveta Bokova
1   Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States
,
Tamador Al-Shamaileh
2   Department of General Surgery, Division of Pediatric Surgery, King Hussain Cancer Center, Amman, Jordan
,
Teresa L. Russell 
3   Department of Urology, Children's National Hospital, Washington, District of Columbia, United States
,
Briony K. Varda
3   Department of Urology, Children's National Hospital, Washington, District of Columbia, United States
,
Christina Feng
1   Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States
,
Andrea T. Badillo
1   Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States
,
Marc A. Levitt
1   Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States
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Abstract

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.

Keywords

anorectal malformation - cloaca - rectovaginal fistula - cloacagram - imperforate anus


Publication History

Received: 13 January 2022

Accepted: 10 July 2022

Article published online:
10 October 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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