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Obstet Gynecol. 2011 Aug;118(2 Pt 2):489-91. doi: 10.1097/AOG.0b013e3182235548.

Rectovaginal fistula as a complication to a Bartholin gland excision.

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  • 1Department of Obstetrics and Gynecology, Mercy Health Partners, Muskegon, Michigan, USA.



Rectovaginal fistula is a rare complication of inflammatory bowel disease, obstetric trauma, pelvic surgery, radiation, and trauma. We present a rectovaginal fistula occurring after an excision of a Bartholin gland.


A healthy 43-year-old woman presented with flatus per vagina immediately after a Bartholin gland excision. She had a history of recurrent Bartholin abscess and had undergone multiple incision and drainage procedures of this cyst over the past 6 years. On rectovaginal examination, the patient was found to have a rectovaginal fistula and subsequently underwent successful transvaginal repair.


Rectovaginal fistula can occur after excision of a Bartholin gland. This case report illustrates a rare and serious complication to a commonly performed gynecologic procedure.

[PubMed - indexed for MEDLINE]
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