title: Management of perineal canal anomaly.
abstract: A 6-year-old girl presented due to passage of stool through her vulva since birth. Examination revealed a fistulous tract between vestibule of the vagina and an otherwise normally formed anal canal. The tract was successfully excised through an anterior sagittal approach with a defunctioning sigmoid colostomy, which was closed 12 weeks later. The embryology, morbid anatomy, and treatment of this rare congenital anomaly are discussed along with a review of the literature.
authors.affiliation: Department of Pediatric Surgery, The Institute of Child Health and The Children's Hospital, Lahore, Pakistan.
authors.forename: I
authors.initials: I
authors.lastname: Mirza
authors.forename: M
authors.initials: M
authors.lastname: Zia-ul-Miraj
mesh_terms: D001003:Anal Canal / Q000002:abnormalities*; D002648:Child; D003125:Colostomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010502:Perineum / Q000002:abnormalities* / Q000601:surgery; D012006:Rectovaginal Fistula / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities*