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Title
A Case Report of Rectal Herniation through Rectovaginal Fistula Associated with Uterine Prolapse
Author
Sang Jeon Lee
Place of duty
Publicationinfo
Journal of Korean Soc Coloproctol 2003 | Vol.19 No.1 | 45 ~ 47, 3 pages
Keyword
Á÷Àå Å»Ãâ; Á÷ÀåÁú·ç; ÀÚ±ÃÅ»; Rectal herniation; Rectovaginal fistula; Uterine prolapse;
Abstract
A rectovaginal fistula, associated with a uterine prolapse, is a very rare entity. The case presented here is that of an elderly woman with a uterine prolapse, associated with an anterior rectal wall herniation through a rectovaginal fistula just
above
the anorectal ring. It was thought the uterine prolapse had caused the weakness, and long diastasis, of the posterior vaginal wall and the rectovaginal fistula, and then the anterior rectal wall became herniated, with eversion through the
rectovaginal
fistula. A total abdominal hysterectomy, with bilateral salpingo-oophorectomy, was performed. The rectum was mobilized just beyond the level of the rectovaginal fistula, and resected at that point. Then, from a perineal approach, a coloanal
anastomosis
was performed using the Parks' sleeve anastomosis technique. After the repair of the long diastasis of the posterior vaginal wall, with inclusion of the fistula opening, a portion of the omentum was interposed between the posterior vaginal wall and
the
coloanal anastomosis site.
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´ëÇÑ´ëÀåÇ×¹®ÇÐȸÁö 2003 | 19±Ç 1È£ 45 ~ 47, 3 pages
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Á÷Àå Å»Ãâ; Á÷ÀåÁú·ç; ÀÚ±ÃÅ»; Rectal herniation; Rectovaginal fistula; Uterine prolapse;