RESUMO
In this case report a 38-year-old woman was admitted to hospital with anal bleeding and perianal pain after a consensual vaginal intercourse followed by an anal intercourse during which she felt a sudden profound pain. Nine days later she was diagnosed with an anovaginal fistula. A diverting sigmoideostomy was performed, and spontaneous healing was awaited. Rectovaginal fistula without concomitant anal sphincter injury as a result of consensual penile anal intercourse is an extremely rare occurrence, described only once previously.
Assuntos
Canal Anal/patologia , Comportamento Sexual , Fístula Vaginal/etiologia , Adulto , Canal Anal/cirurgia , Colostomia , Feminino , Humanos , Fístula Vaginal/cirurgiaRESUMO
We report a case of a vesicouterine fistula occurring after a Caesarean section. There was a noticeable delay in recognizing the fistula, which was, however, clearly visible on a vaginal ultrasound scanning. When urinary incontinence is developed after gynaecologic or obstetric surgery, a fistula must be suspected.