Case Report: Minimally invasive surgical management of a complex high rectovaginal fistula caused by long-term retained and migrated intrauterine device - Summary - MDSpire
Advertisement
Case Report: Minimally invasive surgical management of a complex high rectovaginal fistula caused by long-term retained and migrated intrauterine device
To report a rare case of high rectovaginal fistula (RVF) secondary to a migrated intrauterine device (IUD) and to describe the surgical approach used for its management.
Approach:
Case Presentation: A 43-year-old female with a history of a migrated IUD and a 1-cm fistula underwent laparoscopic proctectomy and combined transabdominal-transvaginal fistula repair.
Surgical Technique: The procedure involved mobilization of the rectum, identification and removal of the IUD, and tension-free repair of the fistula, followed by temporary ileostomy.
Key Findings:
The patient had no postoperative complications.
Ileostomy closure was performed 3 months postoperatively.
No recurrence of fistula or fecal incontinence was observed during the 6-month follow-up.
Interpretation:
Limitations:
The rarity of the condition limits generalizability.
Only one case is reported, necessitating further studies for broader conclusions.
