Acta Scientific Clinical Case Reports

Case ReportVolume 4 Issue 1

A Rare Form of Rectal Atresia Associated with Rectovestibular Fistula

Evgeniy A Okulov1, Aleksey A Gusev1,2*, Aleksey V Dotsenko1, Elena Yu Dyakonova1,2 and Sergey P Yatsyk1

1National Medical Research Center for Children's Health, Russia
2RUDN University (Peoples' Friendship University of Russia), Moscow, Russia

*Corresponding Author: Aleksey A Gusev, National Medical Research Center for Children's Health, Moscow, Russia.

Received: November 01, 2022; Published: December 06, 2022

Abstract

A clinical case of a girl with a rare form of rectal atresia in combination with a rectovestibular fistula, radically operated on at the age of 7 months is presented.

The elimination of the vestibular fistula was performed with the imposition of an "end-to-end" anastomosis of the atrezed parts of the rectal ampulla by posterior sagittal access.

In the postoperative period, the child had an independent regular satisfactory defecation with a moderate tendency to chronic constipation once every two days, stool retention up to 2-3 days was periodically noted.

The article presents the results of surgical treatment and the protocol of the operation itself in a rare clinical case.

Keywords: Rectovestibular Fistula; Rectal Atresia; Child; Anorectal Malformations

Bibliography

  1. Bischoff A., et al. “Prenatal counseling for cloaca and cloacal exstrophy-challenges faced by pediatric surgeons”. Pediatric Surgery International 8 (2012): 781-788.
  2. Holschneider AM and Hutson JM. “Anorectal Malformationsin Children”. Embryology, Diagnosis, Surgical Treatment, Follow-up. (2006).
  3. Khvorostov IN., et al. “Anorectal malformation in children”. Rossiyskiy pediatricheskiy zhurnal (Russian Pediatric Journal) 1 (2022): 52-60.
  4. Lenyushkin AI and Komissarov IA. “Pediatric coloproctology”. St. Petersburg SPMA (2008):448.
  5. Levitt MA and Peña A. “Anorectal malformations”. Orphanet Journal of Rare Diseases 2 (2007): 33.
  6. Okulov EA., et al. “Clinical case of repeated anorectal plasty in a child with rectovestibular fistula complicated by giant megarectum. FSAI National Medical Research Center for Children’s Health”. Meditsinskiy sovet = Medical Council 11 (2021): 118-123.
  7. Peña A and Levitt MA. “Chapter 101. Anorectal Malformations”. In: Grosfeld J.L., O’Neill J.A. Jr., Coran A.G., Fonkalsrud E.W., Caldamone A.A. (eds.). Pediatric Surgery. 6th Elsevier (2006): 1566-1589.

Citation: Aleksey A Gusev., et al. “A Rare Form of Rectal Atresia Associated with Rectovestibular Fistula". Acta Scientific Clinical Case Reports 4.1 (2023): 14-18.

Copyright: © 2022 Aleksey A Gusev., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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