title: Early Diagnosis of a Small Adenocarcinoma in a Rectovaginal Fistula Related to Crohn's Disease.
abstract: While adenocarcinomas have occasionally been reported in perianal fistulae, malignant changes occurring in rectovaginal fistulae are rare, with only a handful of reported cases. We report a 73-year-old woman with Crohn's disease who was diagnosed at an early stage with adenocarcinoma in a rectovaginal fistula. This rare disease poses many diagnostic challenges.
authors.affiliation: Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY.
authors.forename: Deepa M
authors.initials: DM
authors.lastname: Narasimhulu
authors.affiliation: Department of General Surgery, Maimonides Medical Center, Brooklyn, NY.
authors.forename: Anna
authors.initials: A
authors.lastname: Serur
authors.affiliation: Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY.
authors.forename: Neekianund
authors.initials: N
authors.lastname: Khulpateea