Complicated rectovaginal fistula secondary to Bartholin's cyst infection
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Blackwell Publishing
Abstract
Rectovaginal fistula formation secondary to Bartholin's cyst is a very rare complication, and to date only three cases were reported in the literature.We report a case of a 32-year-old woman who suffered recurrent episodes of Bartholin's cyst infection with subsequent abscess formation that resulted in rectovaginal fistula formation. We treated her initially with transperineal repair; however, the fistulous tract recurred a month later. A laparoscopic colostomy and transperineal repair using biological graft was then performed, with excellent results. The patient underwent reversal of colostomy after 2 months, and remained asymptomatic upon follow-up 12 months later. © 2014 Japan Society of Obstetrics and Gynecology.
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Keywords
Bartholin's cyst, Bartholin's cyst abscess, Benign disease of vulva and vagina, Biological mesh, Rectovaginal fistula, Transperineal repair, Adult, Anti-bacterial agents, Bartholin's glands, Biocompatible materials, Collagen, Cysts, Enterobacteriaceae, Female, Humans, Pelvic pain, Recurrence, Reoperation, Reproductive tract infections, Treatment outcome, Vulvar diseases, Antiinfective agent, Biomaterial, Surgical mesh, Abscess, Anus continence, Article, Bartholin cyst, Bartholin gland, Clinical article, Colostomy, Cyst, Follow up, Human, Infection, Vagina disease, Vulva disease, Case report, Growth, development and aging, Isolation and purification, Microbiology, Pathophysiology, Recurrent disease