Newborn female with an absent anus who stools out of her vagina

Clinical image of anorectal malformation
Clinical image shows normal appearing external genitalia, but no anus. Examination of the vaginal introitus reveals a rectal fistula to the posterior vaginal fourchette in the midline, located just inferior to the vagina.

The diagnosis was anorectal malformation with rectovaginal fistula to the vaginal fourchette.