{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T19:57:18Z","timestamp":1790625438710,"version":"4.1.0"},"reference-count":32,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,8,28]]},"abstract":"<jats:p>Anorectal malformations consist of a wide spectrum of conditions which can affect both sexes and involve the distal anus and rectum as well as the urinary and genital tracts. Patients have the best chance of a good functional outcome if the condition is diagnosed early and efficient anatomic repair is promptly instituted. This report describes a rare case of imperforate anus associated with both rectovaginal and rectocutaneous fistulas in a 6-year-old Filipino girl. The case highlights shortcomings in the healthcare delivery system combined with socio-economic factors that contributed to the delay in both diagnosis and the institution of adequate treatment. Care and preventive measures that can be implemented in low-resource settings to reduce the impact of birth defects are also discussed.<\/jats:p>","DOI":"10.1136\/bcr-2015-210084","type":"journal-article","created":{"date-parts":[[2015,10,22]],"date-time":"2015-10-22T02:17:29Z","timestamp":1445480249000},"page":"bcr2015210084","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Access to essential paediatric surgery in the developing world: a case of imperforate anus with rectovaginal and rectocutaneous fistulas left untreated"],"prefix":"10.1136","volume":"2015","author":[{"given":"Marilyn L","family":"Vinluan","sequence":"first","affiliation":[{"name":"Department of Health, RITM, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Remigio M","family":"Olveda","sequence":"additional","affiliation":[{"name":"Department of Health, RITM, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clive K","family":"Ortanez","sequence":"additional","affiliation":[{"name":"University of the East-Ramon Magsaysay Memorial Medical Center, The Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Modesto","family":"Abellera","sequence":"additional","affiliation":[{"name":"University of the East-Ramon Magsaysay Memorial Medical Center, The Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David U","family":"Olveda","sequence":"additional","affiliation":[{"name":"University of the East-Ramon Magsaysay Memorial Medical Center, The Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delia C","family":"Chy","sequence":"additional","affiliation":[{"name":"Department of Health, Northern Samar, The Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allen G","family":"Ross","sequence":"additional","affiliation":[{"name":"Griffith Health Institute, Southport, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,10,21]]},"reference":[{"key":"2025081104400449000_2015.oct21_1.bcr2015210084.1","unstructured":"The March of Dimes global report on birth defects: The hidden toll of dying and disabled children. 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