Case Report
Isolated Recto-Vaginal Fistula: A Dreaded Complication of Precipitate Labor Managed Early and Easily!
| Nilanchali Singh* | |
| University College of Medical Sciences, New Delhi, India | |
| Corresponding Author : | Nilanchali Singh Assistant Professor University College of Medical Sciences New Delhi, India Tel: 91 9811343168 E-mail: nilanchalisingh@gmail.com |
| Received July 31, 2014; Accepted September 03, 2014; Published September 09, 2014 | |
| Citation: Singh N (2014) Isolated Recto-Vaginal Fistula: A Dreaded Complication of Precipitate Labor Managed Early and Easily!. J Preg Child Health 1:111. doi: 10.4172/2376-127X.1000111 | |
| Copyright: © 2014 Singh N.This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | |
Abstract
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.
