title: Complicated rectovaginal fistula secondary to Bartholin's cyst infection.
abstract: Rectovaginal fistula formation secondary to Bartholin's cyst is a very rare complication, and to date only three cases were reported in the literature. We report a case of a 32-year-old woman who suffered recurrent episodes of Bartholin's cyst infection with subsequent abscess formation that resulted in rectovaginal fistula formation. We treated her initially with transperineal repair; however, the fistulous tract recurred a month later. A laparoscopic colostomy and transperineal repair using biological graft was then performed, with excellent results. The patient underwent reversal of colostomy after 2 months, and remained asymptomatic upon follow-up 12 months later.
authors.affiliation: Free University of Brussels, Faculty of Medicine, Brussels, Belgium.
authors.forename: Haydar A
authors.initials: HA
authors.lastname: Nasser
authors.forename: Vanessa Marron
authors.initials: VM
authors.lastname: Mendes
authors.forename: Farah
authors.initials: F
authors.lastname: Zein
authors.forename: Bassem Y
authors.initials: BY
authors.lastname: Tanios
authors.forename: Tarek
authors.initials: T
authors.lastname: Berjaoui
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001472:Bartholin's Glands / Q000382:microbiology*; D001672:Biocompatible Materials / Q000627:therapeutic use; D003094:Collagen / Q000627:therapeutic use; D003560:Cysts / Q000188:drug therapy / Q000382:microbiology / Q000503:physiopathology*; D004755:Enterobacteriaceae / Q000254:growth & development / Q000302:isolation & purification; D005260:Female; D006801:Humans; D017699:Pelvic Pain / Q000209:etiology; D012006:Rectovaginal Fistula / Q000209:etiology / Q000382:microbiology / Q000503:physiopathology / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D060737:Reproductive Tract Infections / Q000188:drug therapy / Q000382:microbiology / Q000503:physiopathology*; D016896:Treatment Outcome; D014845:Vulvar Diseases / Q000188:drug therapy / Q000382:microbiology / Q000503:physiopathology*
chemical_list: D000900:Anti-Bacterial Agents; D001672:Biocompatible Materials; C422414:Permacol; D003094:Collagen
keywords: Bartholin's cyst; Bartholin's cyst abscess; benign disease of vulva and vagina; biological mesh; rectovaginal fistula; transperineal repair