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| LETTER TO EDITOR |
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| Year : 2015 | Volume
: 4
| Issue : 2 | Page : 141 |
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Rectovaginal fistula in mayer rokitansky kuster hauser syndrome: A need for concern
Dalia Rafat
Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College and Hospital, Faculty of Medicine, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
| Date of Web Publication | 16-Jun-2015 |
Correspondence Address:
Dalia Rafat
Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College and Hospital, Faculty of Medicine, Aligarh Muslim University, Aligarh - 202 002, Uttar Pradesh
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2278-0521.157900
How to cite this article:
Rafat D. Rectovaginal fistula in mayer rokitansky kuster hauser syndrome: A need for concern. Saudi J Health Sci 2015;4:141 |
Dear Sir,
An interesting case titled Mayer Rokitansky Kuster Hauser syndrome (MRKHS) presenting as rectovaginal fistula (RVF) has been reported by Gismalla and Alawad in a recent issue of the Saudi Journal for Health Sciences in which the authors have reported a case of 20-year-old woman with primary amenorrhea due to Müllerian agenesis who has presented with rectovaginal fistula following coital injury. [1] A similar case has also been reported recently in literature where a patient of MRKHS developed RVF following coital injury 6 years back but has presented for the treatment of infertility and amenorrhoea. [2] Although most cases of RVF are caused by obstetric injuries, infections and surgical complications but few cases have been reported in literature where RVF has developed following normal consensual coital acts. [3]
These cases of RVF developing in MRKHS patients due to coital injury highlights the importance of counselling about this complication in patients of MRKHS as these patients usually consult for amenorrhoea. There is need for awareness among gynaecologists about this complication so that patients of MRKHS and especially those who refuse for vaginoplasty must be counselled about the risk of development of RVF following coitus so that this serious complication and morbidity arising from it can be prevented.
| References | |  |
| 1. | Gismalla MD, Alawad AA. Mayer Rokitansky Kuster Hauser syndrome presenting as rectovaginal fistula. Saudi J Health Sci 2014;3:168-70.   |
| 2. | Rafat D, Bano I, Shaheen. An unusual presentation of Mayer-Rokitansky- Kuster-Hauser syndrome with rectovaginal fistula. J Med Sci Clin Res 2015;3:4453-57. |
| 3. | Abdullahi HM, Yakasai IA. Coital laceration resulting in recto-vaginal fistula: A case report. Int J Current Microbiol App Sci 2014;3:845-49. |
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