Lymphogranuloma venereum presenting as a rectovaginal fistula.
Lymphogranuloma venereum (LGV) is a rare form of the sexually transmitted disease caused by Chlamydia trachomatis. In the United States, there are fewer than 350 cases per year. In a review of the world's literature, there has not been a case reported in the last thirty years of a case of LGV presenting as a rectovaginal fistula. We present a case of an otherwise healthy American woman who presented with a rectovaginal fistula. Although uncommon, LGV does occur in developed countries and may have devastating tissue destruction if not recognized and treated before the tertiary stage.
Lynch
C M
CM
Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa 33606, USA.
Felder
T L
TL
Schwandt
R A
RA
Shashy
R G
RG
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008219:Lymphogranuloma Venereum / Q000150:complications / Q000175:diagnosis*; D012006:Rectovaginal Fistula / Q000209:etiology*