Fibrin Glue Repair of a Traumatic Rectovaginal Fistula in a Pediatric Patient

Background: Rectovaginal fistulas are often associated with obstetric trauma and present with leakage of stool or flatus from the vagina. They are often repaired via fistulaectomy, but sometimes more complex repairs are needed. There are limited data regarding success using fibrin glue to close the tract. Case: A developmentally delayed pediatric patient presented with right hip pain. Imaging studies identified a hairpin penetrating the rectovaginal space. The hairpin was removed during an exam under anesthesia, and the subsequent rectovaginal fistula was closed with fibrin glue. Closure of the tract has persisted for more than 1 year without need for further intervention. Summary and Conclusion: Fibrin glue may be a minimally invasive and safe approach for rectovaginal fistulas in the pediatric patient.