Acquired rectovaginal fistula in early infancy: rare presentation

An unusual case of acquired rectovaginal fistula in a 45 day old infant is presented. The patient was born with a normally located anal opening. A tra umatic suppository introduction resulted in secondary vulvar infection and delayed rectovaginal fistula. We discuss the diagnostic findings and manage ment. Traumatic rectal instrumentation, be it accidental or secondary to ch ild abuse, with subsequent perineal infection may lead to fistulization wit h the vagina in females. Transperineal excision of such a fistula is mandat ory.