Rectovaginal fistula after STARR procedure complicated by haematoma of the posterior vaginal wall: Report of a case

R. Bassi, J. Rademacher, A. Savoia

Research output: Contribution to journalArticlepeer-review

Abstract

We report the case of a patient treated with the stapled transanal rectal resection (STARR) procedure for obstructed defecation, who developed an early postoperative haematoma of the posterior vaginal wall and, after 30 days, a rectovaginal fistula (RVF), even though the intervention had been performed according to the standardized technique. After clinical examination and three-dimensional anal endosonography, we carried out a successful surgical correction with double vaginal and rectal flaps with repair of the rectovaginal septum and without faecal diversion. The STARR procedure, even if performed according to a rigorous application of the methodological standards, may be followed by a RVF possibly due to a blood collection leading to ischaemia of the vaginal wall.

Original languageEnglish
Pages (from-to)361-363
Number of pages3
JournalTechniques in Coloproctology
Volume10
Issue number4
DOIs
Publication statusPublished - Dec 2006

Keywords

  • Outlet obstruction
  • Rectovaginal fistula
  • Stapled transanal rectal resection
  • STARR procedure
  • Surgical repair

ASJC Scopus subject areas

  • Gastroenterology
  • Surgery

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