Case Report

Martius flap in repair of rectovaginal fistula caused by Bartholin’s gland abscess

  • AMELIA DE ALMEIDA
  • ODETE FIGUEIREDO
  • PAULA RAMOA
  • JOAQUIM COSTA PEREIRA

Pelviperineology 2013;32(2):57-58

Background:

The most rectovaginal fistulas (RVF) are acquired. Although a Bartholin’s gland abscess isn’t unusual in women in reproductive age, RVF is a rare complication.

Case:

We present a patient with a low RVF. She had a previous history of four episodes of Bartholin’s gland abscess. She was undergone LIFT surgery. Two weeks later she had a new Bartholin’s gland abscess and three weeks after was diagnosed another RVF secondary to Bartholin’s gland abscess. Surgical approached with LIFT surgery was performed and complemented with Martius graft.

Conclusion:

We reported rare case of rectovaginal fistula secondary a Bartholin’s gland abscess and treated with Martius graft. With this case the authors highlight the im-portance of multidisciplinary approach and the relevance of interpositional graft techniques.

Keywords: Rectovaginal Fistula; Bartholin’s Gland Abscess; Martius Flap; Recurrence.