Post-Coital Rectovaginal Fistula: A Rare Case
DOI:
https://doi.org/10.51273/esc23.25192.cr1Keywords:
Rectovaginal Fistula, Post-CoitalAbstract
Background: The most common cases of rectovaginal fistula are reported after obstetrical injury however rarely post-coital injuries may also result in a rectovaginal fistula. Coital injuries reported in the literature mostly are due to sexual abuse or violence. Consenting sexual intercourse is a very rare cause as in this case.
Case: The case of a 27-year-old woman who had a post-coital injury after first intercourse leading to the formation of a rectovaginal fistula is reported. She has two failed repairs previously. On examination she has a 1.5cm low fistula. The patient was admitted, after gut preparation her repair was done by the vaginal route by converting the fistula to a fourth degree tear and by doing layered closure.
Conclusions: Rectovaginal fistula after consenting sexual intercourse is rare and may occur due to lack of sex education.
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