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Prior gynecological malignancy treated with surgery and radiotherapy.
Contrast flows rapidly into the vagina at the level of the lower rectum via a thin fistulous tract.
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.
Pelvic radiotherapy treatment for gynecological malignancies is one of the commonest causes of a rectovaginal fistula.