直腸陰道瘻

直腸陰道瘻(英語:rectovaginal fistula),是一類婦科疾病,指腸道生殖道之間形成的異常通道[1]

直腸陰道瘻
直腸陰道瘻
類型vaginal fistula[*]肛瘻
病因分娩Birth injury[*]
分類和外部資源
醫學專科醫學遺傳學、​婦科學
ICD-11GC04.16
ICD-10N82.3, Q52.2
ICD-9-CM619.1
DiseasesDB32573
eMedicinemed/2745
MeSHD012006
[編輯此條目的維基數據]

表現為陰道內排出糞便。瘻孔大者糞便經陰道排出,便稀時更為明顯。瘻孔小,糞便乾結成形時,陰道內不時有排氣現象。窺陰器擴開陰道可見後壁有瘻孔,瘻孔極小者可見小的紅色肉芽組織[2]

肛診同時陰道小孔處放探針,或直腸內注入美藍液,陰道內置干紗布,視有無藍色浸液均可幫助診斷。它可能由性病淋巴肉芽腫感染引起[3],或者手術副作用。

參考

  1. ^ Kumaran SS, Palanivelu C, Kavalakat AJ, Parthasarathi R, Neelayathatchi M. Laparoscopic repair of high rectovaginal fistula: Is it technically feasible?. BMC Surg. 2005, 5: 20 [2014-08-30]. PMC 1266383 . PMID 16221302. doi:10.1186/1471-2482-5-20. (原始內容存檔於2015-11-04). 
  2. ^ Landry, E; Frajzyngier, V; Ruminjo, J; Asiimwe, F; Barry, TH; Bello, A; Danladi, D; Ganda, SO; Idris, S; Inoussa, M; Kanoma, B; Lynch, M; Mussell, F; Podder, DC; Wali, A; Mielke, E; Barone, MA. Profiles and experiences of women undergoing genital fistula repair: findings from five countries.. Global public health. 2013, 8 (8): 926–42. PMC 3805436 . PMID 23947903. doi:10.1080/17441692.2013.824018. 
  3. ^ Lynch CM, Felder TL, Schwandt RA, Shashy RG. Lymphogranuloma venereum presenting as a rectovaginal fistula. Infect Dis Obstet Gynecol. 1999, 7 (4): 199–201. PMC 1784745 . PMID 10449269. doi:10.1155/S1064744999000344.