Rectovaginal fistula after fourth degree perineal tear (transperineal ultrasound)
Updates to Case Attributes
A rectovaginal fistula is a medical condition where there is a fistula oran abnormal connection between the rectum and the vagina.
Rectovaginal fistulas are often the result of trauma during childbirth (in which case it is known as an obstetric fistula), with increased risk associated with significant lacerations or interventions are used such as episiotomy or operative (forceps/vacuum extraction) deliveries or in situations where there is inadequate health care.
-<p>A <a title="Rectovaginal fistula" href="/articles/rectovaginal-fistula">rectovaginal fistula</a> is a medical condition where there is a fistula or abnormal connection between the rectum and the vagina.</p><p>Rectovaginal fistulas are often the result of trauma during childbirth (in which case it is known as an obstetric fistula), with increased risk associated with significant lacerations or interventions are used such as episiotomy or operative (forceps/vacuum extraction) deliveries or in situations where there is inadequate health care.</p>- +<p>A <a href="/articles/rectovaginal-fistula">rectovaginal fistula</a> is an abnormal connection between the rectum and the vagina. Rectovaginal fistulas are often the result of trauma during childbirth (in which case it is known as an obstetric fistula), with increased risk associated with significant lacerations or interventions are used such as episiotomy or operative (forceps/vacuum extraction) deliveries or in situations where there is inadequate health care.</p>
Systems changed:
- Gastrointestinal
Updates to Link Attributes
Updates to Link Attributes
Updates to Study Attributes
Images of 3D pelvic floor US ( Images(images 1 and 2 ) show fusion of vaginal and anal orficesorifices with no separation (internal, external and superficial anal sphincters avulsed with absence of vaginal mucosa and superficial transverse perineii muscle which means perineal body avulsion).
Images of 3D pelvic floor US ( Images(images 3 to 7) show discontinuity of rectovaginal separation at the level of puborectalis muscle with separation of both edges of superficial and external anal sphincter in images 3 and 4 ,,.
Images 8 to 10 show good rectovaginal separation with preserved rectal musclosamucosa (hypoechoic area).
Last 2 images show tomographic US study (the deepest level to the most superficial level), the start of the defect is from the 4th image onwards.