A Rare Case of Vestibular Anus - Presentation during Pregnancy

This is the rare case of vestibular anus (ARM- Anorectal Malformation) case presenting during pregnancy and labour. So far very few cases of vestibular anus are reported. ARM usually presents during paediatric age group, but occasionally can be presented in adults too.20 year old primigravida presented in latent labour to hospital who diagnosed to have vestibular anus with imperforate anal pit. However, there was no fischulous connection between vagina and rectum. Patient was continent for faeces. Delivery was conducted by LSCS (lower segment caesarean section). Conventionally, ARM are treated surgically. But we have opted for conservative management as patient was continent for faeces and new formation of anal opening can have doubtful sphincteric integrity.