Management of chronic ulcerative colitis and rectovaginal fistula by simultaneous ileal pouch construction and fistula closure

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Abstract
Persistent rectovaginal fistulas occurring with ulcerative colitis are unusual manifestations that complicate surgical or medical treatment of the primary disease. Prior to the development of ileal pouch proceduress many cases were traditionally managed with a total colectomy and permanent ileostomy. The authors are aware of no previous study using concurrent fistula repair combined with ileal pouch construction to manage this complex problem. The successful simultaneous repair of a chronic rectovaginal fistula with ileal pouch reconstruction in a patient with intractable ulcerative colitis is reported.