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.

Pub Date : 2022-10-10 eCollection Date: 2022-01-01 DOI:10.1055/s-0042-1755538
Shimon E Jacobs, Laura Tiusaba, Elizaveta Bokova, Tamador Al-Shamaileh, Teresa L Russell, Briony K Varda, Christina Feng, Andrea T Badillo, Marc A Levitt
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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.

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阴道在哪里?直肠狭窄后,一个假定的阴道修复原来是阴道活动和漏高位直肠阴道瘘。
我们提出一个罕见的并发症的情况下,一个10个月大的女性转介到我们的机构肛门狭窄后初级泄殖腔修复作为一个婴儿。多模态成像、仔细的体格检查和内窥镜检查显示,她的阴道被拉到了肛门括约肌复合体的位置。我们描述了这个问题的纠正,包括直肠的识别。
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