Unusual Cause of the Rectovaginal Fistula
Zádorová Z.1, Hajer J.1, Horák L.2
1II. interní klinika,Fakultní nemocnice KrálovskéVinohrady,3. LF UK,Praha, prednosta prof.MUDr.Michal Andel, CSc. 2Chirurgická klinika, Fakultní nemocnice Královské Vinohrady, 3. LF UK, Praha, prednosta doc. MUDr. Jan Fanta, DrSc. |
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Summary:
A rectovaginal fistula is a communication between the
anterior wall of the anal channel or rectum and the
posterior wall of the vagina. A rectovaginal fistula is
regarded as low if the repair can be done from a perineal
approach and high if it can only be repaired transabdominally.
Midrectovaginal fistulas are located between the
two. Rectovaginal fistulas comprise less than 5 percent of
anorectal fistulas. Most result from perineal injury during
childbirth. Other forms of trauma (operative, blunt
and penetrating injuries and foreign body), Crohn’s disease,
carcinoma, radiation therapy, and other causes may
be found. Passage of flatus and sometimes feces through
the vagina is unmistakable to the patients. Repair techniques
are succesful without the need for a preliminary
colostomy in uncomplicated cases.
Authors describe the case of a women with rectovaginal
fistula caused by foreign body.
Key words:
rectovaginal fistula, chicken bone
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