Clinical Quiz—Newborn Female with an Anorectal Malformation and a Gynecological Abnormality

Abstract

We present a case of a newborn female with imperforate anus who on exam was found to have a rectal fistula in the vestibule, no vaginal opening, and a normal urethra. A diagnostic laparoscopy was performed to elucidate the internal anatomy. The case is presented with a focus on surgical strategies in approaching the female patient with anorectal malformation and a Mullerian anomaly, with questions for the readers posed in a quiz format.

Keywords

• anorectal malformation
• imperforate anus
• mullerian anomalies
• vestibular fistula
• vaginal atresia