Редкий вариант аноректальной мальформации: Н-фистула при нормально сформированном анусе

Abstract

H-type rectovestibular fistula with a normal anus refers to rare types of anorectal malformation in both girls and boys. The clinical picture of the girls is characterized by leakage gas and stool through the vagina. The first clinical manifestations occur mainly in infancy. Objective. To describe the clinical observation of an H-type rectovestibular fistuls with a normal anus in a girl with the successful surgery of transanal excision of the fistula. At the age 45 days, the baby's mother noticed the leakage stool through the vagina. When examining the perineum under anesthesia, the child revealed an H-type rectovestibular fistula with a normal anus. Surgery was performed – transanal excision of the fistula with mobilization of the anterior wall of the rectum and closure of the defect. She was discharged from the hospital on the 10th day after the operation. At the control examination after 6 months, the stool is regular, there are no pathological secretions from the vagina, the cosmetic result is good. Conclusion. The advantage of transanal excision of an H-type rectovestibular fistula with the closure of the defect by the rectal wall is the absence of a perineal incision and the need for preventive colostomy, which allows you to maintain a normal appearance as much as possible and achieve a good cosmetic result. Key words: rare anorectal malformation, H-type rectovestibular fistula, transanal approach