[Congenital rectovestibular fistula. An unusual diagnosis that should not be ignored]. / Fistule rectovestibulaire congénitale. Un diagnostic exceptionnel à ne pas méconnaître.

ABSTRACT

UNLABELLED Rectovestibular fistula without anorectal malformation is a rare anomaly. OBSERVATION A six-week-old baby was hospitalized for a greater labium abscess. Stools leakage was secondary noted in the vagina and in abscess area. Clinical examination under anesthesia concluded to a congenital rectovestibular fistula with secondary drainage in the greater labium. Surgical treatment without colostomy led to recovery. COMMENTS: Congenital recto-vestibular fistula is a difficult diagnosis. It should be evoked when vaginal fecal leakage occurs in the absence of anorectal malformation or perineal injury. Fistula location is often confirmed by clinical examination under anesthesia. Treatment is surgical and allowed recovery without any functional damage.