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Congenital anal fistula with normal anus
H Brem1, F M Guttman, J M Laberge
1Department of Pediatric Surgery, McGill University and Montreal Children's Hospital, Quebec, Canada.
Journal of Pediatric Surgery
|February 1, 1989
Summary
This study reports on three infants with congenital fistulas. The male patient
Area of Science:
- Pediatric Surgery
- Congenital Anomalies
- Gastrointestinal Surgery
Background:
- Congenital fistulas in infants can present diagnostic challenges.
- Anovestibular and perineal fistulas are rare congenital malformations.
- Previous literature primarily describes urethral fistulas in males.
Observation:
- Three pediatric cases of congenital anovestibular/perineal fistula were treated.
- Two female infants presented with symptomatic anovestibular fistulae early in life.
- A male infant presented with a chronically draining congenital perineal fistula.
Findings:
- Surgical excision of the perineal fistula in the male infant was successful.
- Microscopic analysis revealed intact rectal mucosa within the fistula tract.
- This case represents the first reported male infant with a congenital perineal fistula.
Implications:
- Congenital perineal fistulas may be underreported in male infants.
- This finding suggests a potential congenital etiology for some fistula-in-ano cases in males.
- Early diagnosis and surgical intervention are crucial for managing these congenital anomalies.