Rectovulvar fistula in a child secondary to an unusual foreign body

Obstet Gynecol. 1990 Nov;76(5 Pt 2):916-8.

Abstract

Foreign bodies in the female genital tract are well recognized as a cause of pain, discharge, secretions, and infection. In the small child, the presence of a vaginal discharge is usually associated with either a common object which has been inserted or sexual abuse complicated by a sexually transmitted disease. A 3-year-old child presented with a recurrent labial secretion and drainage due to an unusual foreign body. It was only during a second operation that the possibility of a foreign body was entertained, and diagnostic testing was begun. A third operation permitted removal of the foreign body, a large bone probably of animal origin. The fistula tract was closed after a colostomy was performed. This represents the first reported case of a rectovulvar fistula not of a congenital nature.

Publication types

  • Case Reports

MeSH terms

  • Bone and Bones
  • Child, Preschool
  • Female
  • Fistula / etiology*
  • Foreign-Body Migration / complications*
  • Humans
  • Rectal Fistula / etiology*
  • Rectum
  • Vulvar Diseases / etiology*