Position of rectal fistula in relation to the hymen in 46 girls with imperforate anus.

Abstract:

:Forty-six records of infant girls with so-called imperforate anus have been reviewed to determine the position of the rectal opening in relation to the hymen. Eight of these children proved to have the cloacal deformity, in which the rectum enters high into a single tube and just behind the opening of a double or septate vagina, with the urethra entering anteriorly at the same level. No normal hymen was visible in these eight children. Seventeen patients had a normal-appearing hymen, and no rectal opening on the perineum. In each of these 17 children the rectal opening was found above the tissue flap overlying the posterior vestibule. In the remaining 21 patients, the hymen was visible and appeared normal, and there was a rectal opening somewhere on the perineum between the vestibule and the normal position for the external sphincters. These findings suggest that in the presence of a normal-appearing hymen, and in the absence of a normal anus, the rectal opening will be either in the posterior part of the vestibule or on the perineum. Where no hymen was visible, we have found in a limited experience that the rectal opening was high in the pelvis in some degree of the so-called cloacal deformity.

journal_name

J Pediatr Surg

authors

Bill AH,Hall DG,Johnson RJ

doi

10.1016/0022-3468(75)90099-8

subject

Has Abstract

pub_date

1975-06-01 00:00:00

pages

361-5

issue

3

eissn

0022-3468

issn

1531-5037

pii

S002234687500036X

journal_volume

10

pub_type

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