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Peroxide-Enhanced 3-Dimensional Endovaginal Ultrasound Imaging for Diagnosis of Rectovaginal Fistula

Denson, Lindsay BS, RDMS; Shobeiri, S. Abbas MD

Female Pelvic Medicine & Reconstructive Surgery: July/August 2014 - Volume 20 - Issue 4 - p 240–242
doi: 10.1097/SPV.0000000000000074
Case Reports

Abstract: We present a case of a rectovaginal fistula identified with peroxide-enhanced 3-dimensional endovaginal ultrasonography.

Case: A 36-year-old woman with history of ulcerative colitis, status post-ileoanal J-pouch anastomosis, and total proctocolectomy presented with leakage of stool from her vagina. The fistula tract could not be fully visualized directly or identified on endoanal ultrasonography, but was diagnosed by peroxide-enhanced endovaginal ultrasound.

The use of peroxide-enhancement while performing 3-dimensional endovaginal sonographic imaging may be of benefit to patients with rectovaginal fistulas that cannot be fully evaluated by physical examination or more typical use of endoanal ultrasonography.

The case of a rectovaginal fistula diagnosed with peroxide enhanced endovaginal ultrasound is discussed.

From the Section of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, OK.

Reprints: S. Abbas Shobeiri, MD, Section of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, 920 Stanton L. Young Blvd, PO Box 26901, WP2410, Oklahoma City, OK 73190. E-mail: Abbas-Shobeiri@ouhsc.edu.

The authors have declared they have no conflicts of interest.

© 2014 by Lippincott Williams & Wilkins