title: Anovaginal fistula presenting as a vulvar ulcer. A report of two cases in postmenopausal women.
abstract: Two women in their early menopausal years were evaluated for a persistent ulcerative lesion located on the vulvar vestibular mucosa at the fourchette. In both cases the ulcer proved to be the vaginal orifice of a small anovaginal fistula of probable cryptogenic origin. Anovaginal fistula should be considered a possible diagnosis when an otherwise unexplained ulcerative lesion is encountered at or near the vaginal introitus.
authors.affiliation: Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia 30322.
authors.forename: W E
authors.initials: WE
authors.lastname: Josey
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008593:Menopause; D008875:Middle Aged; D012003:Rectal Fistula / Q000150:complications* / Q000175:diagnosis; D014456:Ulcer / Q000209:etiology; D014624:Vaginal Fistula / Q000150:complications* / Q000175:diagnosis; D014845:Vulvar Diseases / Q000209:etiology*