Abstract
Background
Rectovaginal fistulas are often associated with obstetric trauma and present with
leakage of stool or flatus from the vagina. They are often repaired via fistulaectomy
but sometimes more complex repairs are needed. There is limited data regarding success
using fibrin glue to close the tract.
Case
A developmentally delayed pediatric patient presented with right hip pain. Imaging
studies identified a hairpin penetrating the rectovaginal space. The hairpin was removed
during an exam under anesthesia, and the subsequent rectovaginal fistula was closed
with fibrin glue. Closure of the tract has persisted for greater than one year without
need for further intervention.
Summary and Conclusion
Fibrin glue may be a minimally invasive and safe approach for rectovaginal fistulas
in the pediatric patient.
Keywords
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Article info
Publication history
Accepted:
February 25,
2023
Received in revised form:
February 17,
2023
Received:
November 16,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Published by Elsevier Inc. on behalf of North American Society for Pediatric and Adolescent Gynecology.
