title: Nicorandil-induced rectovaginal fistula.
abstract: An 82-year-old woman was admitted with feculent vaginal discharge and bleeding per vagina. Investigations revealed the presence of a rectovaginal fistula with no obvious etiology. Due to the surgical team's previous experience with nicorandil-induced ulceration, the drug was stopped. The rectovaginal fistula healed completely within 6 months.
authors.affiliation: Department of General Surgery, Antrim Area Hospital, Antrim, Northern Ireland. dneely01@qub.ac.uk
authors.forename: David Thomas Andrew
authors.initials: DT
authors.lastname: Neely
authors.forename: Eunice Jane
authors.initials: EJ
authors.lastname: Minford
mesh_terms: D000369:Aged, 80 and over; D000889:Anti-Arrhythmia Agents / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D058869:Gynecological Examination; D006801:Humans; D020108:Nicorandil / Q000008:administration & dosage / Q000009:adverse effects*; D012006:Rectovaginal Fistula / Q000139:chemically induced*; D012812:Sigmoidoscopy
chemical_list: D000889:Anti-Arrhythmia Agents; D020108:Nicorandil