A Case Report of Rectovaginal Fistula Associated with a Rectal Foreign Body Neglected for as Long as 5 Years

Abstract

The patient was a 28-year-old woman of zero gravidity and zero parity. She had been inserted foreign bodies into the vagina and rectum habitually by her sexual partner for 5 years. She had realized to have increased vaginal discharge about at the same time. And more, she had realized to have fecal discharge from her vagina since last year. She was performed a colonoscopy and was found to have a plastic cap and a fistula between the anterior wall of rectum and the vaginal fornix. The foreign body was extracted with lumber anesthesia, however the fecal discharge from her vagina persisted. A contrast enema showed the rectovaginal fistula, and a colonoscopy was performed again which showed a large fistula about 3-4 cm in diameter at the anterior wall of the Rb rectum and vaginal stenosis. She was planned laparoscopic low anterior resection because the fistula was too large to expect spontaneous closure, and colo-anal canal anastomosis and vaginal repair were performed. Except for temporarily occurred neurogenic bladder which needed self-catheterization, the postoperative course was uneventful, and the patient was discharged 14 days after the operation.