Rectovestibular fistula as neovagina in congenital cervico‐vaginal agenesis associated with imperforate anus

Anna Lynn A. Matignas, Matignas AL, Delos Reyes RH, Rey H. Delos Reyes
Journal of Obstetrics and Gynaecology Research · 2008 · vol. 34(3) , pp. 428–435 · doi:10.1111/j.1447-0756.2008.00777.x · PMID:18588621 · W2106217646
article OA: closed CC0
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-07-16 ⓘ

This case report describes the surgical creation of a neovagina from a rectovestibular fistula in an 18-year-old female with congenital cervico-vaginal agenesis and imperforate anus, achieving functional menses and preserving fertility.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

An 18-year-old female presented with primary amenorrhea and progressive cyclic abdominal pain, which prompted emergency exploratory laparotomy. Intraoperative findings revealed absent cervix and vagina, partial bicornuate uterus, hematometra, left tubal endometriosis, ruptured left endometrioma and left renal agenesis. Left salpingectomy, left oophorocystectomy, hysterotomy, evacuation of menstrual blood and transverse loop colostomy were performed. Depo-medroxyprogesterone acetate was administered to suppress menses. On re-exploration, utero-rectovestibular fistula anastomosis was described with the distal rectovestibular fistula functioning as a neovagina. Cyclic menses occurred thereafter. Endorectal pull-through with anoplasty was performed after the fistulous tract healed. To the best of our knowledge, this is the first reported case of cervico-vaginal agenesis associated with imperforate anus and rectovestibular fistula. Early diagnosis and surgery are necessary to avoid complications such as endometriosis. The aim was to preserve fertility with conservative management.

My notes (saved in your browser only)

Condition tags

endometriosisendometrioma

MeSH descriptors

Anus, Imperforate Cervix Uteri Rectovaginal Fistula Vagina Abdominal Pain Adolescent Amenorrhea Anus, Imperforate Anus, Imperforate Cervix Uteri Colostomy Endometriosis Endometriosis Fallopian Tubes Fallopian Tubes Female Hematometra Hematometra Hematometra Humans

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. The paper's references may be in our DB but unresolved to ``paper_id`` (resolution happens at ingest when the cited DOI matches a row we already have). Run the cross-source citation reconcile pass to retry.

References (18)

Source provenance

europepmc
last seen: 2026-09-12T06:55:35.949492+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:14:30.652814+00:00
unpaywall
last seen: 2026-09-12T07:21:10.926195+00:00
License: CC0 · commercial use OK