Rapid Communication| Volume 44, ISSUE 10, e27-e30, October 2009

H-type rectovaginal fistula in a patient with bilateral single ectopic ureters


      Congenital H-type rectovaginal fistulas and single ectopic bilateral ureters are each rare malformations. We describe a baby girl with a congenital rectovaginal fistula diagnosed 2 years after correction of single ectopic bilateral ureters. To our knowledge, this is the first association of these entities. Repair of fistula was complicated by recurrence, requiring a second procedure. The recommended operation for this anomaly requires separating the suture lines on the vagina and rectum. The practice of simply oversewing and then buttressing the suture lines is probably not sufficient.

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        • Bryndorf J
        • Madsen CM
        Ectopic anus in the female.
        Acta Chir Scandinav. 1959/1960; 118: 466-478
        • Rintala R.J.
        • Mildh L.
        • Lindahl H.
        H-type anorectal malformations: incidence and clinical characteristics.
        J Pediatr Surg. 1996; 31: 559-562
        • Tsuchida Y.
        • Saito S.
        • Honna T.
        • et al.
        Double termination of the alimentary tract in females: a report of 12 cases and a literature review.
        J Pediatr Surg. 1984; 19: 292-296
        • Chatterjee S.K.
        • Talukder B.C.
        Double termination of the alimentary tract in female infants.
        J Pediatr Surg. 1969; 4: 237-243
        • Bagga D.
        • Chadha R.
        • Malhotra C.J.
        • et al.
        Congenital H-type vestibuloanorectal fistula.
        Pediatr Surg Int. 1995; 10: 481-484
        • Holschneider A.
        • Hutson J.
        • Pena A.
        • et al.
        Preliminary report on the International Conference for the Development of Standard for the Treatment of Anorectal Malformations.
        J Pediatr Surg. 2005; 40: 1521-1526
        • Chatterjee S.K.
        Double termination of the alimentary tract—a second look.
        J Pediatr Surg. 1980; 15: 623-627
        • deVries P.A.
        • Friedland G.W.
        Congenital “H-type” ano-urethral fistula.
        Radiology. 1974; 113: 397-407
        • Stephans F.D.
        • Donnellan W.L.
        “H-Type” urethroanal fistula.
        J Pediatr Surg. 1977; 12: 95102
        • Choudhury S.R.
        • Chadha R.
        • Bagga D.
        • et al.
        Spectrum of ectopic ureters in children.
        Pediatr Surg Int. 2008; 24: 819-823