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

Shimon E. Jacobs; Laura Tiusaba; Elizaveta Bokova; Tamador Al-Shamaileh; Teresa L. Russell; Briony K. Varda; Christina Feng; Andrea T. Badillo; Marc A. Levitt

doi:10.1055/s-0042-1755538

European Journal of Pediatric Surgery Reports (Jan 2022)

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

Shimon E. Jacobs,
Laura Tiusaba,
Elizaveta Bokova,
Tamador Al-Shamaileh,
Teresa L. Russell,
Briony K. Varda,
Christina Feng,
Andrea T. Badillo,
Marc A. Levitt

Affiliations

Shimon E. Jacobs: Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States
Laura Tiusaba: Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States
Elizaveta Bokova: Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States
Tamador Al-Shamaileh: Department of General Surgery, Division of Pediatric Surgery, King Hussain Cancer Center, Amman, Jordan
Teresa L. Russell: Department of Urology, Children's National Hospital, Washington, District of Columbia, United States
Briony K. Varda: Department of Urology, Children's National Hospital, Washington, District of Columbia, United States
Christina Feng: Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States
Andrea T. Badillo: Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States
Marc A. Levitt: Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States

DOI: https://doi.org/10.1055/s-0042-1755538
Journal volume & issue: Vol. 10, no. 01
pp. e145 – e147

Abstract

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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.

Published in European Journal of Pediatric Surgery Reports

ISSN: 2194-7619 (Print); 2194-7627 (Online)
Publisher: Georg Thieme Verlag KG
Country of publisher: Germany
LCC subjects: Medicine: Pediatrics; Medicine: Surgery
Website: https://doi.org/10.1055/s-00024358

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