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

2006 ◽  
Vol 10 (4) ◽  
pp. 361-363 ◽  
Author(s):  
R. Bassi ◽  
J. Rademacher ◽  
A. Savoia
Keyword(s):  
Rectovaginal Fistula ◽  
Vaginal Wall ◽  
Posterior Vaginal Wall ◽  
Starr Procedure

Combined transabdominal–transanal surgical approach for iatrogenic rectovaginal fistula: two case reports

2021 ◽  
Author(s):  
P Wang ◽  
W Tong ◽  
Q Wang
Keyword(s):  
Rectal Cancer ◽  
Rectovaginal Fistula ◽  
Case Reports ◽  
Rectal Surgery ◽  
Radical Resection ◽  
Scar Tissue ◽  
Vaginal Wall ◽  
Vaginal Repair ◽  
Transanal Resection ◽  
Transanal Approach

Rectovaginal fistula (RVF) is a type of anastomotic leakage that may occur after low anterior resection for rectal cancer. The repair of RVF can be challenging because of the scar tissue stenosis and incomplete obstruction. Two patients presented in our department with vaginal faecal discharge almost 7 months after the radical resection of rectal cancer. On vaginal examination, titanium nails related to the rectal surgery were found in the vaginal wall. The patients were diagnosed with RVF. Considering that RVF positions in the patients were high and might adhere to the pelvic tissue, a combined transabdominal–transanal resection and vaginal repair surgery was performed. About 3 months after surgery, both patients underwent colonic closure surgery, with consequent good recovery. A combined transabdominal–transanal approach may provide distinct advantages in surgical repair of difficult cases of RVF.

scholarly journals Development of Vaginal Pseudoaneurysm 3 Years after Cesarean Section Possibly Induced by Anticoagulant and Antiplatelet Therapies

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Yui Kinjo ◽  
Tadatsugu Kinjo ◽  
Keiko Mekaru ◽  
Hayase Nitta ◽  
Hitoshi Masamoto ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Septal Defect ◽  
Large Mass ◽  
Vaginal Wall ◽  
Arterial Phase ◽  
Posterior Vaginal Wall ◽  
Computed Tomography Scan ◽  
Puncture Site ◽  
Long Period ◽  
Tomography Scan

Pseudoaneurysms generally develop when an arterial puncture site is inadequately sealed. We encountered a case of vaginal pseudoaneurysm that developed 3 years after cesarean section in a 35-year-old gravida 7 para 4 woman who was prescribed with anticoagulant and antiplatelet drugs after surgeries for ventricular septal defect and aortic valve replacement. Pelvic computed tomography scan revealed a large mass, which showed a dappled contrast filling on the arterial phase, located in the posterior vaginal wall. The vaginal pseudoaneurysm was completely occluded by embolization of the left vaginal artery. Anticoagulation and antiplatelet therapies can be potential causes of spontaneous pseudoaneurysm rupture. Extrauterine pseudoaneurysm has a long period of time between cesarean section and pseudoaneurysm discovery. Considering that pseudoaneurysm shows different clinical features for each patient, we should always consider pseudoaneurysm when we assess a patient with postpartum hemorrhage.

scholarly journals Malignant Melanoma of the Vagina - A Case Report

1970 ◽  
Vol 26 (2) ◽  
pp. 103-105
Author(s):  
Nilufa Sultana ◽  
Chowdhury Md Ali ◽  
Rawshan Ara Khanam ◽  
Prof Mahmuda Khatan
Keyword(s):  
Case Report ◽  
Malignant Melanoma ◽  
Small Mass ◽  
Vaginal Wall ◽  
Excision Biopsy ◽  
Posterior Vaginal Wall ◽  
Urethral Meatus ◽  
Antitubercular Drugs ◽  
History Of ◽  
Post Menopausal

A 52 yrs old post menopausal lady was admitted in-the Gynae department of SSMC & Mitford Hospital with a small mass in the lower vagina, foul smelling discharge and occasional itching at that site for 1 year. Examination revealed a small, irregular, firm, partially necrosed, non tender growth with foul smelling brownish discharge 2cm below the external urethral meatus, uterus atrophied, cervix flashed, fornicesfree but few small, black, flat nodules scattered in the posterior vaginal wall. She had no history of exposure to any radiation or sunlight to that area or surgery but only received antitubercular drugs for six month for pulmonary tuberculosis. After conservative treatment excision biopsy was taken and histopathology revealed Malignant Melanoma. She was referred to cancer Institute for adjuvent radiotherapy. DOI: 10.3329/jbcps.v26i2.4190 J Bangladesh Coll Phys Surg 2008; 26:103-105

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