Rectovaginal Fistula as a Consequence of Childbirth – a Case Report

Case report

Teodora Krstić, Sandra Đorđević, Jovana Stevanović, Nevena Todorović, Marija Balić Utvić

47–49

https://doi.org/10.5937/medrec2601047K

ORCID iDs:             Teodora Krstić                    https://orcid.org/0009-0005-4646-8252
Sandra Đorđević               https://orcid.org/0009-0006-8488-8183
Jovana Stevanović             https://orcid.org/0009-0009-2697-9601
Nevena Todorović              https://orcid.org/0009-0005-6653-7171
Marija Balić Utvić               https://orcid.org/0009-0009-0450-1965

Abstract

The term rectovaginal fistula means an unnatural (abnormal) communication between the rectum and the vagina. Rectovaginal fistulas are rare, and the majority is of traumatic origin. The most common causes are obstetric trauma, local infection, and rectal surgery. This paper presents the case of a 26-year-old female patient who comes to give birth, two days after giving birth feces and gas pass through the vagina, where a rectovaginal fistula was diagnosed, bipolar sigmoidostomy was performed on the anterior abdominal wall with emergency surgical intervention. The aim of the paper is to show the clinical picture of a female patient where a rectovaginal fistula occurs during obstetric trauma. A retrospective analysis of the patient’s medical records was used. The frequency of obstetric fistulas reflects the state of progress in obstetrics in a country. Appropriate treatment allows patients to avoid serious psychological problems and facilitates reintegration into society. The best treatment for fistulas is based on their prevention.

Key words: rectovaginal fistula, obstetric trauma, ostomy

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