Rectovestibular fistula with absent distal vagina in an adolescent Nigerian girl.

Rectovestibular fistula is the most common variant of anorectal malformations reported in girls. Rarely does the whole of the anorectum occupy an ectopic position in the vestibule of the vulva. The authors report a case of a 15-year-old girl with rectovestibular fistula associated with occult distal vaginal atresia that was managed successfully by posterior sagittal anorecto-vaginoplasty (PSARVP).