20) A 77-year-old using a shelf pessary for 18 years reported vaginal bleeding and a foul-smelling discharge; examination revealed a vesicovaginal and a rectovaginal
fistula, and she also died from acute pyelonephritis and hydronephrosis.
However, the expert stated that he was familiar with the minimum standards of medical practice in relation to the diagnosis and treatment of rectovaginal
fistulae, and those minimum standards were uniform throughout the country.
Caption: With the Vaginal Bowel Control System (pictured above), the patient controls an inflation pump, inflating the balloon to deflect the rectovaginal
septum and interrupt stool passage.
Researchers looked at 100 women with rectovaginal
endometriosis, 100 women with less severe endometriosis, and 100 women without endometriosis who were undergoing gynecologic surgery for other reasons.
As in the anterior compartment, a posterior compartment defect (rectocele) in the rectovaginal
septum may be central, lateral, or combined.
Chapters cover operating room setup and instrumentation, entry and exit technique, energy sources, suturing, anesthesia, and information, color photos, and surgical steps for ovarian cysts, infertility, ovarian drilling, ectopic pregnancy, endometriotic cysts, rectovaginal
endometriosis, myomectomy, and hysterectomy, concluding with a chapter on possible complications.
He correctly mentioned that the condition, called in these days adenomyoma, involved the presence of ectopic endometrial-like tissue in the myometrial wall, rectovaginal
septum, hilus of the ovary, uterine ligaments, rectal wall and umbilicus.
76 million Bangladeshi women were suffering from chronic morbidity due to vesico-vaginal and rectovaginal
fistula, uterine prolapse, dyspareunia, haemorrhoids and associated physical and social disabilities.
These include a fixed retroverted uterus, tender adnexal masses, tenderness or nodularity of the uterosacral ligaments, nodules in the rectovaginal
septum, and rarely blue or red lesions in the posterior vaginal fornix.
Bowel abnormalities include imperforate anus, rectovaginal
fistulae and malrotation of the bowel.
4) A rectovaginal
exam should also be performed to identify masses.
Se diagnosticó atresia anal tipo I asociada a fístula rectovaginal
, acorde a la clasificación convencional establecida (2, 4) , decidiéndose intentar la resolución quirúrgica de la anomalía.