case_images: PMC9550519_01
case_images: A distal colostogram with structures labeled. The two dots represent the urethral orifice anteriorly and the anoplasty location posteriorly.
case_images: 10-1055-s-0042-1755538-i220647cr-1.jpg
case_images: PMC9550519_01_10-1055-s-0042-1755538-i220647cr-1.jpg
case_images: FI220647cr-1
case_images:  A distal colostogram ( Fig. 1 ) showed that the vagina had been mistaken for the rectum and had been pulled through as the "anoplasty."
case_images: Three-dimensional cloacagram, which is rotatable, showing more detail and noting an accessory urethra anterior to the bladder, labeled here.
case_images: 10-1055-s-0042-1755538-i220647cr-2.jpg
case_images: PMC9550519_01_10-1055-s-0042-1755538-i220647cr-2.jpg
case_images: FI220647cr-2
case_images: The original rectum ended in a high rectovaginal fistula above the pubococcygeal line, which had not previously been recognized or repaired. Three-dimensional imaging confirmed these findings and showed an accessory anterior urethra ( Fig. 2 ).