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Management of perineal canal anomaly

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A 6-year-old girl presented due to passage of stool through her vulva since birth. Examination revealed a fistulous tract between vestibule of the vagina and an otherwise normally formed anal canal. The tract was successfully excised through an anterior sagittal approach with a defunctioning sigmoid colostomy, which was closed 12 weeks later. The embryology, morbid anatomy, and treatment of this rare congenital anomaly are discussed along with a review of the literature.

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Mirza, I., Zia-ul-Miraj, M. Management of perineal canal anomaly. Pediatr Surg Int 12, 611–612 (1997).

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