Department of General Surgery, Gumussuyu Military Hospital, Istanbul, Turkey.
Singapore Med J. 2013 Apr;54(4):e85-7. doi: 10.11622/smedj.2013088.
Adult presentation of a rectocutaneous fistula with imperforate anus is rare. We report the case of a 22-year-old man who presented with an anorectal malformation and a rectocutaneous fistula. The patient complained of faecal matter passing through the external orifis of a fistula located at the distal part of his scrotum. He was continent for solid faeces, but had leakage of flatus and faecal soiling. He had no other associated anomaly. The patient subsequently underwent a surgical procedure where anal transposition was done. Postoperative recovery was uneventful, and the patient was fully continent at control examination.
成人直肠阴道瘘伴肛门闭锁极为罕见。我们报告了 1 例 22 岁男性患者，该患者表现为直肠肛门畸形和直肠阴道瘘。患者主诉粪便通过位于其阴囊远端的瘘管外口排出。他对固体粪便有节制，但有气体和粪便渗漏。他没有其他相关异常。患者随后接受了手术治疗，进行了肛门转位。术后恢复顺利，在随访检查时患者完全有节制能力。
