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A 19- year-old female presented with vaginal bleeding after consensual sexual intercourse. Initial examination was unremarkable and she was reassured. Six days later, she re-presented passing faeces and flatus per vaginum. On examination, there was a 30 x 20 mm suprasphincteric recto-vaginal fistula (RVF), with no evidence of peritonitis or sepsis. She underwent an uneventful emergency laparoscopic defunctioning colostomy. This article is protected by copyright. All rights reserved.

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Journal article


Colorectal Dis

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