Wang J, Zhang XY, Chen JH, Jin HY. Treatment of adult congenital anal atresia with rectovestibular fistula: A rare case report. World J Clin Cases 2023; 11(33): 8065-8070 [PMID: 38075572 DOI: 10.12998/wjcc.v11.i33.8065]
Corresponding Author of This Article
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
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
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
Abstract
BACKGROUND
Female anorectal malformation is a correctable congenital defect. Delayed manifestations in patients with anal deformities are uncommon, especially after adolescence.
CASE SUMMARY
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.
CONCLUSION
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.
