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Case Reports
. 2019 Jan-Dec:7:2324709619869368.
doi: 10.1177/2324709619869368.

Rectovaginal Fistula as a Complication of Fecal Management System

Emily Butts  1 , Sandeep Anand Padala  1 , Anusha Vakiti  1 , Vamsi Kota  1
Affiliations
Case Reports

Rectovaginal Fistula as a Complication of Fecal Management System

Emily Butts et al. J Investig Med High Impact Case Rep. 2019 Jan-Dec.

Abstract

We report a rare complication of the use of an intrarectal catheter. An 18-year-old female with T-cell acute lymphoblastic leukemia post-matched unrelated donor allogeneic stem cell transplantation (auto-SCT) developed hepatic encephalopathy secondary to hepatic sinusoidal obstructive disease. A fecal management system was used to contain and divert fecal matter in this immobilized patient. Approximately 1 month after placement of an intrarectal catheter, stool was noted in the vaginal vault. Speculum examination confirmed development of a rectovaginal fistula.

Keywords: fecal incontinence; fecal management system; intrarectal catheter; rectovaginal fistula; veno-occlusive disease.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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