Post-coital Acute Rectovaginal fistula: a rare case report

  • Puja Jain medical graduation from b r ambedkar university agra.postgraduation in obs &gynae from ddu university gorakhpur u.p.
  • Rashmi Saini
Keywords: Rectovaginal fistula, Postcoital

Abstract

Most case of Rectovaginal fistula are caused by obstetric injuries, surgical complications, infections and rarely may follow coital Acts. Postcoital non obstetric vaginal laceration due to consensual sexual Act are generally minute mucosal tears and generally heal by themselves, but in some cases, the vaginal mucosa is lacerated deeper and bleeding may require suturing of open vessels. The aim of this case report is to highlight a rare case of acute low rectovaginal fistula which a 25 yrs old women developed by penile penetration through the full thickness of rectovaginal wall after consensual intercourse and its management in emergency settings.

Author Biography

Puja Jain, medical graduation from b r ambedkar university agra.postgraduation in obs &gynae from ddu university gorakhpur u.p.
specialist ,department of obs & gynae  swami dayanand hospital shahadra delhi

References

1. Meeks G , Ghafar M (2012) Rectovaginal fistula. Glob Libr. Womens med.
2. S Hembah-helekaan I pam(2010) coitally related vaginal injury in woman in north central nigeria .The Internet journal of sexual medicine.
3. Abdullahi. H.M. Yakasai I A (2014) coital laceration resulting in RVF. A case report Int J cure microbiol App. Sci 3:845-849.

4. Mitra P Mukherjee S Hassan H, soreng PS Adhikari s et al .(2012). Rectovaginal fistulas of different etiologies : Clinical case reports NJOG 7:43-46.
5. Sally ,EP., Matt, Mc Danald ,D claire, T. 2001. Unrecognized coital laceration ina series of non virginal adolescents girls. J Paediat. Adol. GYNECOL.,14(3):149.
6. Onsrud M Sjoveian S Luthiriri R ,Mukwege D(2008) Sexual violence-related fistulas in the DemocraticRepublic of Congo. Int J Gynaecol Obstet:256-259.
7. Mulleta M Williams G.Postcoital injuries treated at the Addis Ababa Fistula hospital,1991-97.Lancet 1999;354:2051.
8. Kriplani A ,AgarwalN,Garg P,Sharma M.Transvaginal repair of post coital rectovaginal fistula in patients of vaginal agenesis.J Obstet Gynaecol.2007;27;209.
9. Singh Nisha (2013) Case Series of three postcoital rectovaginal fistulas. J gynacol surg 29: 70.
10. Ahmed, E., Syrd, S. A., Praveen, N, 2006. Female consensual coital injuries.J. Coll. Physicians
11. Rahman, M S ., AL-Suleman , S.A.,EL- Yahia, A.R., Rahman, J. 2003. Surgical treatment of rectovaginal fistula of obstetric origin: a review of 15 years experience in a teaching hospital. J . Obstet. Gynaecol., 23:607 610.
12. Nisa S. Case series of three postcoital rectovaginal fistule. J Gynaecol surg , 2013;29(2): 70- 71,doi: 10 1089/gyn.2011.0097.
Published
2016-08-21
Section
Case Reports