Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 26, 2023; 11(33): 8065-8070
Published online Nov 26, 2023. doi: 10.12998/wjcc.v11.i33.8065
Treatment of adult congenital anal atresia with rectovestibular fistula: A rare case report
Jun Wang, Xin-Yi Zhang, Ji-Han Chen, Hei-Ying Jin
Jun Wang, Xin-Yi Zhang, Ji-Han Chen, Hei-Ying Jin, Department of Anorectal Surgery, The Second Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210017, Jiangsu Province, China
Co-first authors: Jun Wang and Xin-Yi Zhang.
Author contributions: Wang J, Zhang XY, and Jin HY designed the study; Wang J and Zhang XY wrote the manuscript and analyzed the data; Wang J and Zhang XY contributed equally to this work; Jin HY and Chen JH supervised coordination and the design of the study; All the authors have read and approved the final manuscript; All authors have consented to the publication of this study.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors declare that they have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hei-Ying Jin, MD, Doctor, Professor, Department of Anorectal Surgery, The Second Affiliated Hospital of Nanjing University of Chinese Medicine, No. 23 Nanhu Road, Nanjing 210017, Jiangsu Province, China. jinheiying@hotmail.com
Received: September 7, 2023
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
Core Tip

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.