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Updated: Sep 30, 2026

Removal of an Intravesical Gellhorn Pessary and Staged Repair of a Residual Large Vesico-Vaginal Fistula
Published on: April 14, 2026
[Congenital rectovestibular fistula. An unusual diagnosis that should not be ignored]
T Petit1, Y Fouques, S Viatounou
1Service de chirurgie pédiatrique, CHU Caen Côte-de-Nacre, 14033 Caen, France. petit-t@chu.caen.fr
Unlabelled:
Rectovestibular fistula without anorectal malformation is a rare anomaly.
Observation:
A six-week-old baby was hospitalized for a greater labium abscess. Stools leakage was secondary noted in the vagina and in abscess area. Clinical examination under anesthesia concluded to a congenital rectovestibular fistula with secondary drainage in the greater labium. Surgical treatment without colostomy led to recovery.
Comments:
Congenital recto-vestibular fistula is a difficult diagnosis. It should be evoked when vaginal fecal leakage occurs in the absence of anorectal malformation or perineal injury. Fistula location is often confirmed by clinical examination under anesthesia. Treatment is surgical and allowed recovery without any functional damage.
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