Colovaginal fistula. Report of a case with failure of transvaginal repair.


Journal Article

BACKGROUND: Spontaneous development of colovaginal fistula is a rare cause of abnormal vaginal discharge in older women and most commonly arises from diverticular disease. Laparotomy for segmental colonic resection is the accepted treatment. The author found no previous reports of attempted transvaginal closure of these fistulae, although such closure of similar fistulae can sometimes be accomplished in patients with Crohn's disease when quiescence is achieved. CASE: An otherwise healthy 69-year-old female developed a colovaginal fistula as a result of diverticular disease. Resolution of all associated inflammatory changes was achieved over four months. A three-layer transvaginal closure of the fistula using the Futh technique was then performed; it was technically successful but broke down one week later. CONCLUSION: Transvaginal closure of a colovaginal fistula, even with intensive preparatory efforts, cannot be recommended on the basis of this attempt.

Full Text

Cited Authors

  • Livengood, CH

Published Date

  • April 1996

Published In

Volume / Issue

  • 41 / 4

Start / End Page

  • 291 - 293

PubMed ID

  • 8728088

Pubmed Central ID

  • 8728088

International Standard Serial Number (ISSN)

  • 0024-7758


  • eng

Conference Location

  • United States