An infant surgical case of recto-vestibular fistula with normal anus

We report an infant surgical case of recto-vestibular fistula with normal anus. She presented with ectopic defecation through the vestibular fossa at the age of one month. She was admitted in our hospital and diagnosed as having rectovestibular fistula. The following day she underwent sigmoid colostomy because of deep inflammation in the pubic region. She underwent the transperineal removal of fistula at five months, but she experienced recurrence one month after surgery. She successfully underwent the pull through procedure of the anterior wall of the rectum at one year and two months. Fistula surgery should be performed without dissecting external sphincter muscle. The pull through of the anterior wall of the rectum is thought to be the most reliable procedure for the repair of recto-vestibular fistula