AI Article Synopsis
- Rectovaginal fistula is a rare but serious complication that can arise from procedures like the excision of a Bartholin gland, often occurring in women with a history of recurrent abscesses.
- A 43-year-old woman experienced flatus per vagina immediately following her Bartholin gland surgery, which led to the discovery of a rectovaginal fistula during examination.
- The case illustrates the importance of awareness around potential complications from common gynecologic surgeries, highlighting the successful repair of the fistula through a transvaginal approach.
Article Abstract
Background: Rectovaginal fistula is a rare complication of inflammatory bowel disease, obstetric trauma, pelvic surgery, radiation, and trauma. We present a rectovaginal fistula occurring after an excision of a Bartholin gland.
Case: A healthy 43-year-old woman presented with flatus per vagina immediately after a Bartholin gland excision. She had a history of recurrent Bartholin abscess and had undergone multiple incision and drainage procedures of this cyst over the past 6 years. On rectovaginal examination, the patient was found to have a rectovaginal fistula and subsequently underwent successful transvaginal repair.
Conclusion: Rectovaginal fistula can occur after excision of a Bartholin gland. This case report illustrates a rare and serious complication to a commonly performed gynecologic procedure.
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| http://dx.doi.org/10.1097/AOG.0b013e3182235548 | DOI Listing |
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