Recto-Vaginal fistula due to cervix carcinoma. Patient has colostomy in asa. Radiation used in the treatment of pelvic malignancies may result in RVF. Fistulas that occur during therapy are usually due to tumor regression. Most other fistulas become apparent 6 months to 2 years after completion of therapy. Diabetes, hypertension, smoking, and previous abdominal or pelvic surgery increase the risk of fistula formation. Differentiating radiation change at the fistula from a recurrent tumor by biopsy is imperative because neoplasms (primary, recurrent, metastatic) can produce RVFs.
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