Kim Young Sun, Han Hyo Sang, Seo Min Woo, Kim Woo Suk, Lee Jin Hyung, Park Nae Kyeong, Sang Jae Hong
Department of Obstetrics and Gynecology, Soonchunhyang University Gumi Hospital, Seoul, Korea.
Gynecol Obstet Invest. 2015;79(2):136-8. doi: 10.1159/000369456. Epub 2015 Jan 27.
Bartholin's duct cysts, the most common growths in the vulva, occur in the labia majora. The cyst may become infected, and an abscess may develop in the gland. Rectovaginal fistula is a rare complication and its formation is secondary to Bartholin's cyst; only 4 cases have been reported in the literature so far. In this case, the fistula was located between the rectum and a Bartholin's duct, rather than the vagina and the rectum. We present the first case of a recto-Bartholin's duct fistula, performed surgical excision and fistulectomy. Postoperative treatment with antibiotics resulted in the complete resolution of all lesions at the 3-month follow-up.
巴氏腺导管囊肿是外阴最常见的肿物,发生于大阴唇。囊肿可能会感染,腺体内可能形成脓肿。直肠阴道瘘是一种罕见的并发症,其形成继发于巴氏腺囊肿;迄今为止,文献中仅报道过4例。在本病例中,瘘管位于直肠与巴氏腺导管之间,而非阴道与直肠之间。我们报道首例直肠-巴氏腺导管瘘病例,并实施了手术切除和瘘管切除术。术后使用抗生素治疗,在3个月的随访中所有病变完全消退。