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Amoebic recto-vaginal fistula--a case report and review of literature
O A Fadiran1, F O Dare, E A Jeje
1Department of Surgery, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria.
Abstract:
A case of amoebic recto-vaginal fistula is presented, with a review of literature on this rare complication of intestinal amoebiasis. A temporary defunctioning sigmoid colostomy was necessary. This in combination with oral metronidazole and tetracycline resulted in spontaneous closure of the fistulous tract. Non-traumatic recto-vaginal fistula poses a major diagnostic problem especially in the tropics where many granulomatous infections are endemic and could mimic carcinoma.