Case Report: Minimally invasive surgical management of a complex high rectovaginal fistula caused by long-term retained and migrated intrauterine device - Takeaways - MDSpire

Case Report: Minimally invasive surgical management of a complex high rectovaginal fistula caused by long-term retained and migrated intrauterine device

  • By

  • Ziwen Wang

  • Zhiyin Deng

  • Min Zhu

  • Li Zhang

  • Haixia Xu

  • Zhen Zhou

  • Yanqing Lu

  • Hao Wang

  • June 24, 2026

  • 0 min

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  • 1

    A 43-year-old female presented with a rectovaginal fistula due to a migrated intrauterine device, confirmed during a failed removal attempt.

  • 2

    The patient underwent a combined laparoscopic proctectomy and transabdominal-transvaginal fistula repair, along with a temporary ileostomy.

  • 3

    The surgical procedure was uneventful, with no postoperative complications reported during the 6-month follow-up.

  • 4

    This case represents the first documented instance of high-level rectovaginal fistula caused by a long-term retained migrated IUD.

  • 5

    The study emphasizes the importance of multidisciplinary collaboration in managing complex cases of pelvic fistulas.

Original Source(s)

Case Report: Minimally invasive surgical management of a complex high rectovaginal fistula caused by long-term retained and migrated intrauterine device

  • by Ziwen Wang, Zhiyin Deng, Min Zhu, Li Zhang, Haixia Xu, Zhen Zhou, Yanqing Lu, Hao Wang

  • June 24, 2026

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