Techniques in Coloproctology

, Volume 10, Issue 4, pp 361–363

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

Authors

    • Coloproctology UnitDivision of General Surgery Ospedale Maggiore
  • J. Rademacher
    • Coloproctology UnitDivision of General Surgery Ospedale Maggiore
  • A. Savoia
    • Coloproctology UnitDivision of General Surgery Ospedale Maggiore
CASE REPORT

DOI: 10.1007/s10151-006-0310-1

Cite this article as:
Bassi, R., Rademacher, J. & Savoia, A. Tech Coloproctol (2006) 10: 361. doi:10.1007/s10151-006-0310-1

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.

Key words

STARR procedureStapled transanal rectal resectionRectovaginal fistulaSurgical repairOutlet obstruction

Copyright information

© Springer-Verlag Italia 2006