Abstract
This case involves a patient with the congenital absence of the lower third of the vagina. While undergoing surgical restoration of the vagina, she sustained a laceration, which ultimately led to the development of a rectovaginal fistula. After two unsuccessful attempts at repair, the recommendation was for a diverting colostomy with another attempted repair, and she presented to our clinic to discuss other possible surgical options. The patient underwent repair of the fistula using a porcine-derived small intestinal submucosal extracellular matrix graft, which resulted in the repair of the rectovaginal fistula without recurrence at 18 months’ follow-up.
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References
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Written informed consent was obtained from the patient for publication of this case report and any accompanying images
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The authors declare that they have no conflict of interest.
Authors’ contribution
Both Drs Jonathan and Sebastian Faro participated in the preparation of this manuscript by providing clinical management of the patient.
Dr Berger assisted in the production of this manuscript by reviewing, editing and revising the manuscript.
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Berger, K., Faro, J. & Faro, S. Repair of a recurrent rectovaginal fistula with a biological graft. Int Urogynecol J 26, 1071–1073 (2015). https://doi.org/10.1007/s00192-015-2701-1
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DOI: https://doi.org/10.1007/s00192-015-2701-1