Published online Nov 26, 2023. doi: 10.12998/wjcc.v11.i33.8065
Peer-review started: September 7, 2023
First decision: October 17, 2023
Revised: November 5, 2023
Accepted: November 17, 2023
Article in press: November 17, 2023
Published online: November 26, 2023
Processing time: 77 Days and 19.4 Hours
Female anorectal malformation is a correctable congenital defect. Delayed manifestations in patients with anal deformities are uncommon, especially after adolescence.
The clinical data of a 19-year-old adult female patient with congenital anal atresia accompanied by rectovestibular fistula as the main manifestation was retrospectively analyzed. Diagnosis was made based on the patient's clinical symptoms, signs, imaging showing the fistula, X-ray and magnetic resonance imaging results. The preoperative examination was improved. Anorectoplasty was performed. The patient exhibited an improvement in quality of life and presented no evidence of fecal incontinence during the 6-mo follow-up.
Transfistula anorectoplasty is a reasonable and reliable surgical method for the treatment of adult congenital anal atresia and rectovestibular fistula.
Core Tip: This paper reports the case of an adult patient with congenital anal atresia combined with rectovestibular fistula who underwent transfistulae anorectoplasty with clear visual field exposure the ability to separate the rectovaginal septum under direct vision, greatly reducing the possibility of vaginal injury, ensuring the integrity of the sphincter, and causing minimal intraoperative damage to normal tissues. It is a reasonable and reliable surgical method for the treatment of congenital anal atresia and rectovestibular fistula.