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

CASE REPORT

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 procedure Stapled transanal rectal resection Rectovaginal fistula Surgical repair Outlet obstruction 

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Copyright information

© Springer-Verlag Italia 2006

Authors and Affiliations

  1. 1.Coloproctology UnitDivision of General Surgery Ospedale MaggioreCrema (CR)Italy

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