Rectovaginal fistula after gastrointestinal tract continuity restoration using a stapler--case report

Polski przeglad chirurgiczny
Joanna WelanykMarek Dobosz

Abstract

The authors presented a case of rectovaginal fistula in a 40-year old female patient after gastrointestinal tract continuity restoration (Hartmann's operation) performed because of iatrogenic rectal damage. The most likely cause of rectovaginal fistula development was the erroneous introduction of the stapler into the vagina and sigmoidovaginostomy during an attempt to reconstruct the continuity of the gastrointestinal tract. In order to reconstruct the continuity of the gastrointestinal tract the patient was subject to anterior rectal resection, sigmoidorectostomy, and closure of the fistula inside the vaginal wall by its duplication. Additionally, a double protective ileostomy was performed, which was subject to closure after three months.

References

Oct 11, 1992·Diseases of the Colon and Rectum·P R FleshnerM C Veidenheimer
Oct 14, 2005·BMC Surgery·Saravanan S KumaranMurugayyan Neelayathatchi
Nov 16, 2005·World Journal of Surgical Oncology·Zhongshu Yan, Guoqing Liao
Jan 30, 2010·The Surgical Clinics of North America·Bradley J Champagne, Michael F McGee
Sep 2, 2010·Case Reports in Gastroenterology·Satoshi YodonawaRyoko Kubokawa

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Citations

Jan 16, 2015·International Journal of Surgery Case Reports·Milcho PanovskiVasilcho Spirov
Aug 21, 2021·Annals of the Royal College of Surgeons of England·P WangQ Wang

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