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Rectal atresia with rectolabial fistula
S P Sharma1, V D Upadhyaya, A Pandey
1Department of Pediatric Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Journal of Indian Association of Pediatric Surgeons
|December 17, 2009
Summary
Rectal atresia, a rare condition, typically lacks urinary tract connections. This case details an unusual membranous rectal atresia with a recto-labial fistula, successfully treated by perforating the membrane and opening the fistula.
Area of Science:
- Pediatric Surgery
- Congenital Anomalies
- Gastrointestinal Malformations
Background:
- Rectal atresia is a rare congenital anomaly characterized by the absence of a normal anal opening.
- It typically involves normally developed anal sphincters without urinary tract fistulas.
Observation:
- This report describes an unusual case of membranous rectal atresia.
- The anomaly presented with a recto-labial fistula, a rare variation.
Findings:
- The case was successfully treated by blind perforation of the rectal membrane.
- The associated recto-labial fistula was surgically managed with a lay opening.
Implications:
- This case highlights a rare presentation of rectal atresia and its successful management.
- It suggests that blind perforation can be an effective treatment for specific types of rectal atresia with fistulas.
- Further research into rare anorectal malformations and their surgical outcomes is warranted.