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A Rare, Unusually Long Vestibular Fistula in a Female: Challenges Faced in Diagnosis and Management
Rohit Kapoor1, Basant Kumar1, Nishant Agarwal1
1Department of Paediatric Surgical Superspecialties, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Abstract:
We present a rare case of a female neonate with a long vestibular fistula extending above the peritoneal reflection, a variant seldom described in literature. Initially, anterior sagittal anorectoplasty was attempted but it revealed an unusually long and stenotic fistulous tract, thus forcing us to do a diversion colostomy. Definitive abdominoperineal pull-through was later performed with a good postoperative outcome. Awareness of this rare anomaly is crucial as management differs significantly from typical female vestibular or perineal fistulas.
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