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.
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.
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Accepted: February 25, 2023
Received in revised form: February 17, 2023
Received: November 16, 2022
Publication stageIn Press Journal Pre-Proof
© 2023 Published by Elsevier Inc. on behalf of North American Society for Pediatric and Adolescent Gynecology.