case_images: PMC7436641_01
case_images: exposure of the different vulvo-perineal layers
case_images: PAMJ-36-151-g001.jpg
case_images: PMC7436641_01_PAMJ-36-151-g001.jpg
case_images: F1
case_images: When packing was removed, we discovered a complete tear at the level of the posterior vulva (Figure 1).
case_images: recto vaginal fistula
case_images: PAMJ-36-151-g002.jpg
case_images: PMC7436641_01_PAMJ-36-151-g002.jpg
case_images: F2
case_images: The external anal sphincter was intact (Figure 2).
case_images: exposure of torn rectal mucosa
case_images: PAMJ-36-151-g003.jpg
case_images: PMC7436641_01_PAMJ-36-151-g003.jpg
case_images: F3
case_images: The operating procedures consisted in: betadine swab of perineum and vagina, placement of a size 12 Hegar s dilator in the rectum, suturing of the rectal mucosa with absorbable vicryl No. 2/0 (Figure 3 and Figure 4), then a successive suture of the vaginal mucosa and of the cutaneous plane of the perineum with vicryl 0 (Figure 5).
case_images: repair of rectal mucosa
case_images: PAMJ-36-151-g004.jpg
case_images: PMC7436641_01_PAMJ-36-151-g004.jpg
case_images: F4
case_images: The operating procedures consisted in: betadine swab of perineum and vagina, placement of a size 12 Hegar s dilator in the rectum, suturing of the rectal mucosa with absorbable vicryl No. 2/0 (Figure 3 and Figure 4), then a successive suture of the vaginal mucosa and of the cutaneous plane of the perineum with vicryl 0 (Figure 5).
case_images: repair of the vaginal mucosa
case_images: PAMJ-36-151-g005.jpg
case_images: PMC7436641_01_PAMJ-36-151-g005.jpg
case_images: F5
case_images: The operating procedures consisted in: betadine swab of perineum and vagina, placement of a size 12 Hegar s dilator in the rectum, suturing of the rectal mucosa with absorbable vicryl No. 2/0 (Figure 3 and Figure 4), then a successive suture of the vaginal mucosa and of the cutaneous plane of the perineum with vicryl 0 (Figure 5).
case_images: end result after posterior colpo-perineorrhaphy
case_images: PAMJ-36-151-g006.jpg
case_images: PMC7436641_01_PAMJ-36-151-g006.jpg
case_images: F6
case_images: After satisfactory control of the hemostasis and checked for the solidity of the repair, we proceeded to a vaginal toileting (Figure 6).
case_images: complete healing on day 60 post operatory
case_images: PAMJ-36-151-g007.jpg
case_images: PMC7436641_01_PAMJ-36-151-g007.jpg
case_images: F7
case_images: Her appointments for clinical review after 1 week and two months post-operatory were uneventful and satisfactory (Figure 7).