Unrecognized vaginal intubation during the barium enema procedure with subsequent balloon inflation and contrast instillation is a potentially fatal complication of an otherwise common and routine procedure. The patient was admitted for surgical repair of the vaginal laceration and monitoring for chemical peritonitis; and was managed without exploratory laparotomy. We review the existing literature, summarize 18 reported cases from worldwide literature, detail potential complications and propose management and prevention strategies based on the mechanism of injury.
Rectal microbicides that protect against HIV transmission via anal sex are a bigger technical challenge than vaginal ones. The rectal lining is more delicate than the vaginal, so safety has been an issue; research has shown that many of the gel formulations used in lubricants damage rectal cells and may actually enhance HIV transmission. But the biggest challenge is coverage.
A fistula is an abnormal connection between two organs. The opening allows stool and gas to leak from the bowel into the vagina. About 0.
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Your doctor will perform a physical exam to try to locate the rectovaginal fistula and check for a possible tumor mass, infection or abscess. The doctor's exam includes inspecting your vagina, anus and the area between them perineum with a gloved hand. Unless the fistula is very low in the vagina and readily visible, your doctor may use a speculum to see inside your vagina.
An enemaalso known as a clysteris an injection of fluid into the lower bowel by way of the rectum. In standard medicine, the most frequent uses of enemas are to relieve constipation and for bowel cleansing before a medical examination or procedure;  also, they are employed as a lower gastrointestinal series also called a barium enema to check diarrhea,  as a vehicle for the administration of food, water or medicine, as a stimulant to the general system, as a local application and, more rarely, as a means of reducing temperature,  as treatment for encopresisand as a form of rehydration therapy proctoclysis in patients for whom intravenous therapy is not applicable. In other contexts, enemas are used by some alternative health therapies, used for enjoyment, chiefly as part of sexual activities, but also in sadomasochism, as well as simply for pleasure, used to intoxicate with alcohol, used to administer drugs for both recreational and religious reasons, and used for punishment. As bowel stimulants, enemas are employed for the same purposes as orally administered laxatives : To relieve constipation ; To treat fecal impaction ; To empty the colon prior to a medical procedure such as a colonoscopy.
Iatrogenic injuries caused by barium enema are rarely reported. Following a phased surgical protocol for up to one year, we have successfully treated a patient with rectal injury and severe infection of the pelvic floor space complicated with retention of large amounts of barium and vaginal fistula. In this article, the phased surgery planning for the treatment of rectal injury complicated with vaginal fistula is discussed in terms of the pros and cons, and the observed effect and evolution of barium retained in the pelvic floor space are described.