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Re: Finding RV fistulas From: rchudacoff@mylinuxisp.com Tue May 30 19:20:06 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: rchudacoff@mylinuxisp.com: "Hemoperitoneum" Previous message: Daniel Flaherty: "Finding RV fistulas" In reply to: Daniel Flaherty: "Finding RV fistulas" Next in thread: Joanne Bulley, MD: "Re: Finding RV fistulas" Reply: Joanne Bulley, MD: "Re: Finding RV fistulas" On 30 May 2000, at 18:31, Daniel Flaherty wrote: > Hi, > > I saw a patient today for a return visit concerning a chronic foul odor vaginal discharge. She had a vaginal delivery last fall by another doctor, and had a second degree tear and repair. No loss of stool continence or pain but a question of loss of stool gases from the vagina. When I saw her four weeks ago, there was an area of weak support, like a dimple in the RV septum above the external sphincter ring, but I could not see a hole with probing the area. It was not inflamed or particularly tender. She did have a yeast infection, and that went away after treament, but the foul odor remained. I checked her today, and nothing had changed, other than finding a small amount of discharge over the dimple that smelled quite awful. Does anyone have experience with finding small fistulas? How about placing a tampon soaked with dye into the rectum and checking for dye in the vagina? Thanks. > > Dan Flaherty MD > Watertown SD > Try using a small lacrimal probe in the dimple and put your finger in her rectum to see if there is a communication. If that does not work, you can put a gauze in her rectum and inject a saline-indigo carmine solution into the dimple, using the plastic gelco sheath of a IV needle (20 or 22 gauge) and see if dye is on the gauze. Rick Richard Chudacoff, MD Chudacoff Obstetrics & Gynecology, PLLC 15200 Southwest Freeway # 270 Sugar Land, TX 77478 281-277-3900 281-277-3901 fax rchudacoff@mylinuxisp.com Richard.Chudacoff@obgyn.net Next message: rchudacoff@mylinuxisp.com: "Hemoperitoneum" Previous message: Daniel Flaherty: "Finding RV fistulas" In reply to: Daniel Flaherty: "Finding RV fistulas" Next in thread: Joanne Bulley, MD: "Re: Finding RV fistulas" Reply: Joanne Bulley, MD: "Re: Finding RV fistulas"

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