Background: Anorectal malformations (ARM) can present in different fashions. Rectovestibular fistula is one of the congenital ARM. There is abnormal connection between the rectum and vulval vestibule. ARM is called as rectovaginal fistula if it is within the hymen. Case presentation: We present a 7-years old female child who reported of passing feces and gas through the vaginal passage. The child was brought late by the parents because of rural background. She was evaluated by abdomen plain Xray, US, MRI and special investigation by injecting contrast from the common opening. The diagnosis was confirmed as that of congenital recto-vestibular fistula (CRF) by these radiological investigations. Conclusion: Radiological modalities are of great importance for the confirmatory diagnosis of rectovestibular fistula. This further helps in appropriate surgical management.

Keywords: anorectal malformation, US, MRI, special investigation, CRF, case report