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Two openings in the perineum of a female may be seen in cases of imperforate anus without fistula, vaginal agenesis with vestibular fistula or imperforate anus with recto-vaginal fistula (RVF). We present a case series of ARM with RVF and discuss their diagnosis and management.<\/jats:p>","DOI":"10.1177\/00494755221113932","type":"journal-article","created":{"date-parts":[[2022,7,20]],"date-time":"2022-07-20T00:09:48Z","timestamp":1658275788000},"page":"57-60","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Female with two perineal openings: Do not forget rectovaginal fistula"],"prefix":"10.1177","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5835-4053","authenticated-orcid":false,"given":"Parveen","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Chacha Nehru Bal Chikitsalya, \rNew Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivek","family":"Manchanda","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Chacha Nehru Bal Chikitsalya, \rNew Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9696-9972","authenticated-orcid":false,"given":"Mamta","family":"Sengar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Chacha Nehru Bal Chikitsalya, \rNew Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Radiology, Chacha Nehru Bal Chikitsalya, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,7,19]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2002.33816"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/1750-1172-2-33"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2019.06.021"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4377-1560-6.00067-6"},{"key":"e_1_3_2_6_2","first-page":"251","volume-title":"Anorectal malformations in children embryology, diagnosis, surgical treatment, follow\u2014up","author":"Chatterjee SK","year":"2006","unstructured":"Chatterjee SK. 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