Open Access Open Access  Restricted Access Subscription Access

ACQUIRED RECTOVESTIBULAR FISTULA- AN EXPERIENCE FROM A RURAL MEDICAL COLLEGE

Nitin Agarwal, Ram Mohan Shukla, S. P. Mukhiya, Deepika Agarwal, Rohtash Luthra, Kaustubh Gupta, Jalaj Gupta

Abstract


Aim: We discuss our experience with acquired rectovestibular fistula in our institute in a rural set up.

Material & Methods: There are 6 patients in this study. All of them underwent regular anal dilatation with supplement of lactobacillus (stool hardener). In patients, where this management did not work, surgical repair was done.

Results: The mean age of the patients was 4.5 months, range from 3-6 months. Three of the babies improved with regular anal dilatation leading to the closure of the fistulous tract whereas three did not respond to the anal dilatation protocol. These three infants required closure of the fistulous tract.

Conclusion: A high index of suspicion for early diagnosis of acquired anovestibular fistula is needed as it is a very rare anomaly. The acquired rectovestibular fistula can be surgically repaired when conservative treatment with dilatation fails.

Keywords


Acquired rectovestibular fistula, Anorectal malformation, Anal dilatation, Perineal canal, Acquired rectovestibular fistula with normal anus, H-type rectovestibular fistula.

Full Text:

PDF

References


Bryndorf J, and Madsen CH. (1960). “Ectopic anus in the female”, Acta Chir Scand, Vol.118, p.466.

Chatterjee SK, and Talukder BC. (1969). “Double termination of the alimentary tract in female infants”, J Pediatr Surg, Vol.4, pp.237-243.

Kulshrestha S, Kulshrestha M, Prakash G, Gangopadhyay AN, and Sarkar B. (1998). “Management of congenital and acquired H-type anorectal fistulae in girls by anterior sagittal anorectovaginoplasty”, J Pediatr Surg, Vol.33, pp.1224-1228.

Lawal TA, Chatoorgoon K, Bischoff A, Pena A, and Levitt MA. (2011). “Management of H-type rectovestibular and rectovaginal fistulas”, J Pediatr Surg, Vol.46, pp.1226-1230.

Li L, Zhang TC, Zhou CB, Pang WB, Chen YJ, and Zhang JZ. (2010). “Rectovestibular fistula with normal anus: A simple resection or an extensive perineal dissection?”, J Pediatr Surg, Vol.45, pp.519-524.

Meyer T, and Hocht B. (2006). “Management of a congenital H-type anorectal fistula by anterior sagittal anorectovaginoplasty (ASARVP)”, Int J Colorectal Dis, Vol.21, pp.728-729.

Rintala RJ, Mildh L, and Lindahl H. (1996). “H-type anorectal malformations: incidence and clinical characteristics”, J Pediatr Surg, Vol.31, pp.559-562.

Tsuchida Y, Saito S, Honna T, Makino S, Kaneko M, and Hazama H. (1984). “Double termination of the alimentary tract in females: A report of 12 cases and a literature review”, J Pediatr Surg, Vol.19, pp.292-296.


Refbacks

  • There are currently no refbacks.


Send mail to ijsss@ijsss.com with questions or comments about this web site. 

International Journal of Surgery and Surgical Sciences, All rights reserved.