Rectovaginal Fistula as a Complication of Fecal Management System. (August 2019)

• Record Type: Journal Article
• Authors: Butts, Emily; Padala, Sandeep Anand; Vakiti, Anusha; Kota, Vamsi
• Is Part Of: Journal of investigative medicine high impact case reports. Volume 7(2019)
• Publication Date: 2019-08
• Subjects: fecal management system -- intrarectal catheter -- rectovaginal fistula -- veno-occlusive disease -- fecal incontinence; Internal medicine -- Periodicals; Medical care -- Periodicals; 616.005
• DOI: 10.1177/2324709619869368
• Languages: English
• ISSNs: 2324-7096

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.