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Rectovaginal Fistula as a Complication of Fecal Management System
Emily Butts1, Sandeep Anand Padala1, Anusha Vakiti1
11 Augusta University Medical Center, Medical College of Georgia, Augusta, GA, USA.
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.
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