Rectovaginal fistula

Case contributed by Dr Ian Bickle

Presentation

Known recurrent rectal malignancy. Clinical impression of a rectovaginal fistula.

Patient Data

Age: 36
Gender: Female
CT

Low rectal anastomosis.

Recurrent perianastomotic soft tissue, in keeping with tumour recurrence.

A catheter placed in the rectum for administration of contrast ( water as a negative contrast agent ) traverses the anterior rectal wall, with the tip in the vaginal fornix.

The water fills the vaginal which is distended, along with foci of gas.

Normal bladder.

Case Discussion

Colovaginal fistula most commonly occur with pelvic malignancies.

This case illustrates the fistula using rectal ''contrast'' administration, which fills the vaginal, but furthermore the catheter enters the vagina itself from the rectal placement.

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Case information

rID: 29119
Case created: 5th May 2014
Last edited: 11th Sep 2015
Inclusion in quiz mode: Included

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