Forceful Insertion of Hair Clutcher Leading to Rectovaginal Fistula: An Inhuman Act

Abstract

Prolonged foreign body impaction resulting in a rectovaginal fistula is one of the rare case scenarios presenting nowadays due to increased awareness and widespread availability of health care centers. Also, the taboo of reporting to healthcare personnel for rare gynecological problems is also decreasing. This patient reported with a foreign body in the form of a hair clutcher inserted in her vagina 3 years back by her boyfriend. She presented with complaints of itching, foreign body sensation in the vagina, and pain abdomen in the supra pubic area for 3 months after she got married. The diagnosis was confirmed on per rectal and per vaginal examination followed by contrast-enhanced computed tomography pelvis. Intraoperatively, the foreign body was found to be impacted in both rectum and vagina, resulting in a rectovaginal fistula. The fistula was repaired and a diversion colostomy was done. After 12 weeks, colostomy closure was done, and the patient was discharged with no postoperative complications.

Keywords

• colostomy
• foreign body impaction
• rectovaginal fistula