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Perianal abscess as a manifestation of vaginocutaneous fistula after pelvic floor reconstruction

We present a case of vaginocutaneous fistula 10 years after pelvic floor reconstruction using transvaginal mesh implantation. The female patient in her mid-60s presented with typical symptoms of perianal abscess.… Click to show full abstract

We present a case of vaginocutaneous fistula 10 years after pelvic floor reconstruction using transvaginal mesh implantation. The female patient in her mid-60s presented with typical symptoms of perianal abscess. After undergoing three surgical operations, the perianal infection was shown to be due to the implanted mesh as a late complication of the reconstruction. The patient was successfully managed with limited removal of the mesh tails. The case highlights one of the late complications of pelvic floor reconstruction using synthetic meshes.

Keywords: pelvic floor; perianal abscess; vaginocutaneous fistula; reconstruction; floor reconstruction

Journal Title: BMJ Case Reports
Year Published: 2022

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