[Ileo-vaginal fistula after ileoanal anastomosis. Recovery by transposition of the gracilis muscle. Satisfactory anatomical and functional result].
One woman developed a pouch-vaginal fistula after reconstructive proctocolectomy for ulcerative colitis. This study describes the risk factors which predispose to the development of this rare complication, as well as the various treatment options available. A diverting ileostomy was maintained and gracilis muscle interposition flap was used to treat the patient. An excellent result was achieved. This procedure can be useful in this rare but distressing complication.
Maurel
J
J
Service de Chirurgie Digestive, CHU Côte de Nacre, Caen.
Gignoux
M
M
D000328:Adult; D003093:Colitis, Ulcerative / Q000601:surgery; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications; D016737:Proctocolectomy, Restorative / Q000009:adverse effects*; D011859:Radiography; D012307:Risk Factors; D013524:Surgical Flaps; D014624:Vaginal Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*
Fistule iléo-vaginale après anastomose iléo-anale. Guérison par transposition du muscle droit interne. Bon résultat anatomique et fonctionnel.