INTRACTABLE FLUOR VAGINALIS AND RECURRENT AND FISTULAS CAUSED BY A PRESACRAL DERMOID CYST

The case of a five-year-old girl with intractable fluor vaginalis and recurrent perianal fistulas is reported. A presacral dermoid cyst was shown to be the cause of these symptoms. Extensive radiological invest igation revealed the cyst and the associated fistulas extending into t he perianal region and the vagina. After verification of the anatomica l situation, an uneventful surgical procedure was carried out. A relat ively infrequent and heterogeneous group of tumors may arise in the pr esacral space. Because of the vague nature of the symptoms, most of th ese lesions are found only by careful examination. Recurrent perianal fistulas should be a warning when routine surgery cannot resolve the p roblems.