A CASE OF CROHN'S DISEASE WITH RECTOVAGINAL FISTULA

Abstract

A recto-vaginal fistula in 30-year-old woman with ileo-colic Crohn's disease was recently experienced. Trans ano-vaginal fistulectomy with a diverting temporary colostomy at the ascending colon was performed. At laparotomy, stricture plasty was performed for the small intestinal stenotic lesion at the same time.
The postoperative course was good and the patient can take sufficient food orally. In Crohn's disease, fistula formation is a rather frequent complication and often needs surgical treatment. However recto-vaginal fistula of Crohn's disease is a rare complication and no definite treatment has yet been established.