Assuntos
Glucocorticoides/efeitos adversos , Prolapso de Órgão Pélvico/induzido quimicamente , Idoso , Doenças Ósseas Metabólicas/induzido quimicamente , Diabetes Mellitus/induzido quimicamente , Estrogênios/uso terapêutico , Feminino , Glucocorticoides/uso terapêutico , Procedimentos Cirúrgicos em Ginecologia/métodos , Humanos , Curativos Oclusivos , Prolapso de Órgão Pélvico/cirurgia , Prednisona/efeitos adversos , Prednisona/uso terapêutico , Índice de Gravidade de Doença , Resultado do Tratamento , Úlcera/induzido quimicamente , Úlcera/cirurgia , Úlcera/terapia , Vagina/cirurgiaRESUMO
BACKGROUND: Rectovaginal fistula is a rare complication of inflammatory bowel disease, obstetric trauma, pelvic surgery, radiation, and trauma. We present a rectovaginal fistula occurring after an excision of a Bartholin gland. CASE: A healthy 43-year-old woman presented with flatus per vagina immediately after a Bartholin gland excision. She had a history of recurrent Bartholin abscess and had undergone multiple incision and drainage procedures of this cyst over the past 6 years. On rectovaginal examination, the patient was found to have a rectovaginal fistula and subsequently underwent successful transvaginal repair. CONCLUSION: Rectovaginal fistula can occur after excision of a Bartholin gland. This case report illustrates a rare and serious complication to a commonly performed gynecologic procedure.