Abstract
Acquired rectovaginal fistulas in the pediatric population are relatively rare but are often difficult to treat. We describe a young girl who acquired a neorectovaginal fistula after a repeat pull-through procedure for Hirschsprung's disease. Durable repair of the fistula was accomplished with a gracilis transposition flap, providing a well-vascularized muscle buttress between the neorectum and vagina. To our knowledge, this is the first report of a gracilis flap in a pediatric patient with an acquired fistula and should be considered for this complication after pull-through for Hirschsprung's as well as for other perineal fistulas such as those acquired after trauma, infection, or in the setting of inflammatory bowel disease.
Original language | English (US) |
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Pages (from-to) | E37-E41 |
Journal | Journal of Pediatric Surgery |
Volume | 46 |
Issue number | 8 |
DOIs | |
State | Published - Aug 2011 |
Keywords
- Gracilis transposition flap
- Rectovaginal fistula
ASJC Scopus subject areas
- Surgery
- Pediatrics, Perinatology, and Child Health