Spontaneous Healing of a Rectovaginal Fistula Developing after Laparoscopic Segmental Bowel Resection for Intestinal Deep Infiltrating Endometriosis

William Kondo; Reitan Ribeiro; Carlos Henrique Trippia; Monica Tessmann Zomer

doi:10.1155/2013/837903

Spontaneous Healing of a Rectovaginal Fistula Developing after Laparoscopic Segmental Bowel Resection for Intestinal Deep Infiltrating Endometriosis

William Kondo, Reitan Ribeiro, Carlos Henrique Trippia, Monica Tessmann Zomer

Case reports in obstetrics and gynecology · 2013 · vol. 2013 , pp. 1–4 · doi:10.1155/2013/837903 · PMID:23710392 · W2158639675

article OA: gold CC0 ⤵ 5 in-corpus citations

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Abstract

The surgical treatment of intestinal deep infiltrating endometriosis has an associated risk of major complications such as dehiscence of the intestinal anastomosis, pelvic abscess, and rectovaginal fistula. The management of postoperative rectovaginal fistula frequently requires a reoperation and the construction of a stoma for temporary fecal diversion. In this paper we describe a 27-year-old woman undergoing laparoscopic treatment of deep infiltrating endometriosis (extramucosal cystectomy, resection of the uterosacral ligaments, resection of the posterior vaginal fornix, and segmental bowel resection) complicated by a rectovaginal fistula, which healed spontaneously with nonsurgical conservative treatment.

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endometriosisdie_deep_infiltrating

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License: CC0 · commercial use OK

[1] Anatomical distribution of deeply infiltrating endometriosis: surgical implications and proposition for a classification via openalex

[2] Comparison between standard and reverse laparoscopic techniques for rectovaginal endometriosis via openalex

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[11] Laparoscopic treatment of bowel endometriosis. via openalex

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[14] The early outcome of laparoscopic sigmoid and rectal resection for endometriosis via openalex

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