2023 Volume 43 Issue 1 Pages 31-36
Rectovaginal fistulas caused by obstetric trauma can result in the release of uncontrolled flatulence or stool from the anorectal tract. This could lead to severe impairment of the quality of life and social and sexual lives of the patient. We report the case of a 42-year-old female who presented with a rectovaginal fistula that occurred after vaginal delivery in fourth-degree perineal laceration. The fistula was repaired 7 months after delivery via the vaginal approach, and the submucosal tissue and rectal mucosa were sutured. The rectovaginal septum was repaired using a gluteal fold flap to transpose well-perfused tissue for wound healing. At 6 months postoperatively, there has been no recurrence and the patient does not feel any disability.
