Complete vaginal prolapse: an unusual presentation of anovestibular fistula.
An adolescent girl with an anovestibular fistula presenting as a complete vaginal prolapse and large-bowel obstruction is reported. The prolapse was reduced manually after repeated bowel washouts and a divided high sigmoid colostomy. The patient is awaiting posterior sagittal anorectoplasty. Possible etiopathologic factors of the prolapse are discussed. A vaginal prolapse in a patient with an anorectal malformation has not been reported previously in the English literature.
Digray
N C
NC
Division of Pediatric Surgery, Department of Surgery, Government Medical College, Jammu, India 180 001.
Mengi
Y
Y
Goswamy
H L
HL
Singh
N
N
Atri
M R
MR
Sharma
R
R
Thappa
D R
DR
D000293:Adolescent; D003108:Colonic Diseases / Q000601:surgery; D003125:Colostomy; D003937:Diagnosis, Differential; D005244:Fecal Impaction / Q000601:surgery; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery; D012006:Rectovaginal Fistula / Q000151:congenital* / Q000601:surgery; D014596:Uterine Prolapse / Q000151:congenital* / Q000601:surgery