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Rectovaginal fistula

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Prior gynecological malignancy treated with surgery and radiotherapy.

Patient Data

Age: 70 years
Gender: Female
Fluoroscopy

Contrast flows rapidly into the vagina at the level of the lower rectum via a thin fistulous tract.

ct

Hysterectomy and BSO.

Contrast instilled into the rectum via a catheter.

Large volume of contrast in the vagina with a thin fistulous tract at the level of the lower rectum.

 

Case Discussion

Pelvic radiotherapy treatment for gynecological malignancies is one of the commonest causes of a rectovaginal fistula.

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