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  • Title: Complicated rectovaginal fistula secondary to Bartholin's cyst infection.
    Author: Nasser HA, Mendes VM, Zein F, Tanios BY, Berjaoui T.
    Journal: J Obstet Gynaecol Res; 2014 Apr; 40(4):1141-4. PubMed ID: 24428845.
    Abstract:
    Rectovaginal fistula formation secondary to Bartholin's cyst is a very rare complication, and to date only three cases were reported in the literature. We report a case of a 32-year-old woman who suffered recurrent episodes of Bartholin's cyst infection with subsequent abscess formation that resulted in rectovaginal fistula formation. We treated her initially with transperineal repair; however, the fistulous tract recurred a month later. A laparoscopic colostomy and transperineal repair using biological graft was then performed, with excellent results. The patient underwent reversal of colostomy after 2 months, and remained asymptomatic upon follow-up 12 months later.
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