Rectovaginal Fistula as a Complication of Fecal Management System

Emily Butts, Sandeep Anand Padala, Anusha Vakiti, Vamsi Kota

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

We report a rare complication of the use of an intrarectal catheter. An 18-year-old female with T-cell acute lymphoblastic leukemia post-matched unrelated donor allogeneic stem cell transplantation (auto-SCT) developed hepatic encephalopathy secondary to hepatic sinusoidal obstructive disease. A fecal management system was used to contain and divert fecal matter in this immobilized patient. Approximately 1 month after placement of an intrarectal catheter, stool was noted in the vaginal vault. Speculum examination confirmed development of a rectovaginal fistula.

Original languageEnglish (US)
JournalJournal of Investigative Medicine High Impact Case Reports
Volume7
DOIs
StatePublished - Aug 1 2019

Keywords

  • fecal incontinence
  • fecal management system
  • intrarectal catheter
  • rectovaginal fistula
  • veno-occlusive disease

ASJC Scopus subject areas

  • Epidemiology
  • Safety, Risk, Reliability and Quality
  • Safety Research

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