A rare anorectal malformation: a very large H-type fistula.
A very large H-type rectovaginal fistula was observed in a 9-year-old girl. The diameter of the abnormal opening was about 15 mm. The fistulous tract originated from the stenotic segment 1 cm above the pectinate line of the anus and was connected to the back wall of the vagina. The patient underwent posterior sagittal transrectal surgery with a protecting colostomy. At present, she has good bowel function and sphincter control without recurrence of the fistula.
Bianchini
M A
MA
Department of Pediatric Surgery, Regina Margherita Children's Hospital, Piazza Polonia 94, 10126 Torino, Italy.
Fava
G
G
Cortese
M G
MG
Vinardi
S
S
Costantino
S
S
Canavese
F
F
D002648:Child; D003125:Colostomy; D005260:Female; D006801:Humans; D012006:Rectovaginal Fistula / Q000601:surgery*