Consensual Postcoital Rectovaginal Fistula

Abstract

Consenting sexual intercourse (CSI) leading to rectovaginal fistula (RVF) is a rare event. However, its incidence is on the rise. It is a distressing, uncomfortable and devastating condition in women. Failure to identify can lead to delayed treatment and poor outcome. Clinicians need to be aware of such injuries. The index case of acute RVF following CSI is being reported to highlight its unusualness, and management in an emergency setting. A 32-year-old lady was admitted for severe abdominal pain, bleeding per vaginum, release of flatus and fecal matter through the vagina following consensual vaginal intercourse (CVI) in the emergency department. A diverting colostomy was performed. RVF was repaired transvaginally, she became continent to both feces and flatus and colostomy was closed.