Журнал беременности и здоровья детей

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Isolated Recto-Vaginal Fistula: A Dreaded Complication of Precipitate Labor Managed Early and Easily!

Nilanchali Singh

Background:Obstetric injuries are the most common cause of rectovaginal fistulas. Such injuries include perineal tears extending to rectum, episiotomy site infection or extension of an episiotomy. These are usually preceded by prolonged and difficult labor.

Case: This case report illustrates formation of a rectovaginal fistula after precipitate labor.There was no associated third or fourth degree perineal tear. Diagnosis and successful management was done due to strict vigilance.

Conclusion: Rectovaginal fistulas are usually preceded by difficult, prolonged and obstructed labor but may also occur after precipitate labor. An index of suspicion and digital rectal examination in cases of posterior vaginal tears should be done to rule out recto-vaginal fistula.