Fistula-in-ano after episiotomy.
BACKGROUND
In the past 2 years, we treated three women with fourth-degree lacerations or episiotomy infections presenting with persistent pain and drainage not responding to standard treatment.


METHODS
These women were referred for evaluation 5 weeks, 3.5 months, and 2 years postpartum. After diagnosing fistula-in-ano, we treated them with fistulotomy and curettage, which resolved the problem.


CONCLUSIONS
When a patient presents with pain or drainage at her episiotomy site, fistula-in-ano should be considered.
Howard
D
D
Department of Obstetrics and Gynecology, University of Michigan Health Systems, Ann Arbor 48109-0276, USA.
DeLancey
J O
JO
Burney
R E
RE
D000328:Adult; D003937:Diagnosis, Differential; D004841:Episiotomy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000601:surgery*; D011247:Pregnancy; D011645:Puerperal Infection / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D012006:Rectovaginal Fistula / Q000209:etiology* / Q000473:pathology / Q000601:surgery