PMC4283261_01
Examination demonstrating congenital absence of external anus. The rectovestibular fistula is just visible at the posterior aspect of the introitus near the fourchette.
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fig1
This appeared to be a rectovaginal fistula noted caudal to the hymenal ring but within the vagina itself (Figures 1 and 2).
Examination demonstrating cystocele, normal vaginal tissue, and posterior rectovestibular fistula.
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fig2
This appeared to be a rectovaginal fistula noted caudal to the hymenal ring but within the vagina itself (Figures 1 and 2).
Colonoscopic image demonstrating the opening of the anorectal malformation. A small hemorrhoid is noted at the 5:00 position.
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fig3
The patient was taken for colonoscopy by the gastroenterology service where the gynecologic team assisted with introduction of a pediatric colonoscope through the fistula (Figure 3).
Colonoscopic image of the patient's diverticular disease. No active bleeding was noted during the colonoscopy.
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fig4
Severe colonic diverticulosis without active bleeding was noted (Figure 4).