Abstract
Rectovaginal fistula causes distressing symptoms and usually caused by obstetric trauma in developing countries especially in Sub Saharan Africa. The index case is reported to highlight the rare situation, where a 20 years old newly married woman developed low rectovaginal fistula following her first time coitus.
Highlights
A rectovaginal fistula is an epithelial communication between the rectum and the vagina
Rectovaginal fistula following coitus usually arises from nonconsensual sexual intercourse in cases of sexual assault [2]
Very few case reports showed that postcoital rectovaginal fistula occurs proximal to the hymenal ring [5,6] or injury may involve the external anal sphincter [7]
Summary
A rectovaginal fistula is an epithelial communication between the rectum and the vagina. Rectovaginal fistula (RVF) commonly occurs from obstetrics injury. In developing countries; it is from child birth injury following obstructed labor in 76 to 97% and the rest can be from surgeries, malignancies and infections. Rectovaginal fistula following coitus usually arises from nonconsensual sexual intercourse in cases of sexual assault [2].
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