Management of Sexual Assault-related Large Rectovaginal Fistula in an Eight-Year-Old

Abstract Rectovaginal fistula may be a complication sexual assault in children. Management of these cases could be daunting with possibilities of significant psychological and physical morbidity. An eight-year-old girl presented with vulvar fecal leakage from a large rectovaginal fistula two weeks a...

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Bibliographic Details
Published inJournal of pediatric & adolescent gynecology Vol. 24; no. 2; pp. e39 - e41
Main Authors Ekenze, S.O., MBBS, Nwagha, U.I., MBBS, Ezomike, U.O., MBBS, Obasi, A.A., MBBS, Okafor, D.C., MBBS, Nwankwo, E.P., MBBS
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.04.2011
Subjects
Anal Canal - surgery
challenges
Child
Child Abuse, Sexual
Colostomy
developing country
Female
Humans
Obstetrics and Gynecology
Pediatrics
Rectovaginal fistula
Rectovaginal Fistula - etiology
Rectovaginal Fistula - surgery
Rectum - surgery
sexual assault
Urogenital Surgical Procedures - methods
Vagina - surgery
developing country
Rectovaginal fistula
sexual assault
challenges
child
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Summary:Abstract Rectovaginal fistula may be a complication sexual assault in children. Management of these cases could be daunting with possibilities of significant psychological and physical morbidity. An eight-year-old girl presented with vulvar fecal leakage from a large rectovaginal fistula two weeks after sexual assault. The child was managed by initial diverting colostomy and the fistula repair was carried out via a posterior sagittal approach. This report highlights significance of initial thorough evaluation in cases with suspected traumatic rectovaginal fistula, and demonstrates benefits of posterior sagittal approach in the definitive treatment of large-sized fistula.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:1083-3188
1873-4332
DOI:10.1016/j.jpag.2010.11.009