阴道在哪里？一例疑似泄殖腔修复术后的直肠狭窄竟是游离的阴道及一处漏诊的高位直肠阴道瘘。
Where Is the Vagina? A Rectal Stricture after a Presumed Cloacal Repair Turns Out to be the Mobilized Vagina and a Missed High Rectovaginal Fistula.
作者信息
Jacobs Shimon E, Tiusaba Laura, Bokova Elizaveta, Al-Shamaileh Tamador, Russell Teresa L, Varda Briony K, Feng Christina, Badillo Andrea T, Levitt Marc A
机构信息
Department of Surgery, Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, United States.
Department of General Surgery, Division of Pediatric Surgery, King Hussain Cancer Center, Amman, Jordan.
出版信息
European J Pediatr Surg Rep. 2022 Oct 10;10(1):e145-e147. doi: 10.1055/s-0042-1755538. eCollection 2022 Jan.
We present a case of a rare complication in a 10-month-old female referred to our institution for an anal stricture after primary cloacal repair as an infant. Multimodal imaging, careful physical exam, and endoscopic evaluation revealed her vagina had been pulled through to the location of her anal sphincter muscle complex. We describe the correction of this problem, including identification of her rectum.
我们报告一例10个月大女性的罕见并发症，该患儿婴儿期因原发性泄殖腔修复术后肛门狭窄转诊至我院。多模态影像学检查、仔细的体格检查和内镜评估显示，她的阴道被牵拉至肛门括约肌复合体所在位置。我们描述了该问题的矫正过程，包括对其直肠的识别。
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