Evidence map›Paper›PMID 34500248›Full record

ArticleInternational journal of surgery case reports2021

Bartholin's gland abscess a rare cause of rectovaginal fistula: A case report and literature review.

F Z Bensardi, S Kabura, ElAttar Layla, A El Bakouri, M Bouali, K El Hattabi, A Fadil

Open access · goldAbstract read
In one paragraph

Article in International journal of surgery case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

F Z BensardiService of Emergency of the Visceral Surgery, Ibn Rochd University Hospital Centre, Morocco; Hassan II University of Casablanca, Medicine and Pharmacy Faculty, Morocco; Department of Surgery, Ibn Rochd-Casablanca University Hospital Centre, Morocco.
S KaburaService of Emergency of the Visceral Surgery, Ibn Rochd University Hospital Centre, Morocco; Hassan II University of Casablanca, Medicine and Pharmacy Faculty, Morocco; Department of Surgery, Ibn Rochd-Casablanca University Hospital Centre, Morocco.
ElAttar LaylaService of Emergency of the Visceral Surgery, Ibn Rochd University Hospital Centre, Morocco; Hassan II University of Casablanca, Medicine and Pharmacy Faculty, Morocco; Department of Surgery, Ibn Rochd-Casablanca University Hospital Centre, Morocco.
A El BakouriService of Emergency of the Visceral Surgery, Ibn Rochd University Hospital Centre, Morocco; Hassan II University of Casablanca, Medicine and Pharmacy Faculty, Morocco; Department of Surgery, Ibn Rochd-Casablanca University Hospital Centre, Morocco.
M BoualiService of Emergency of the Visceral Surgery, Ibn Rochd University Hospital Centre, Morocco; Hassan II University of Casablanca, Medicine and Pharmacy Faculty, Morocco; Department of Surgery, Ibn Rochd-Casablanca University Hospital Centre, Morocco.
K El HattabiService of Emergency of the Visceral Surgery, Ibn Rochd University Hospital Centre, Morocco; Hassan II University of Casablanca, Medicine and Pharmacy Faculty, Morocco; Department of Surgery, Ibn Rochd-Casablanca University Hospital Centre, Morocco.
A FadilService of Emergency of the Visceral Surgery, Ibn Rochd University Hospital Centre, Morocco; Hassan II University of Casablanca, Medicine and Pharmacy Faculty, Morocco; Department of Surgery, Ibn Rochd-Casablanca University Hospital Centre, Morocco.
Centre Hospitalier Universitaire Ibn Rochd · MAUniversity of Hassan II Casablanca · MA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRectovaginal fistula (RVF) is an abnormal communication between the vagina and the rectum. RVFs caused by Bartholin's gland infection are very rare. We present the case of recurrent rectovaginal fistula complicating a bartholin's gland abcess successfully treated with a Martius flap. The aim of this work is to demonstrate the possibility of complication of bartholin's gland infection by a rectovaginal fistula and the efficacy of Martius flap procedure for recurrent RVF of the low third part of the vagina. OBSERVATION: It is a 30-year-old woman admitted to our department for recurrent RVF due to an abscess of the Bartholin's glands. She was previously treated with a vaginal advancement flap which failed with persistence of the fistula and its symptoms. The patient underwent a RVF repair by Martius flap with complete healing of the fistula. DISCUSSION: Rectovaginal fistula is a complex pathology with psycho-social, individual, family, religious and ethno-environmental repercussions. Its main aetiologies are obstetric, rectal surgery. Several techniques including the vaginal or anal advancement flap and the Martius flap are used for the treatment of rectovaginal fistulas. For recurrent fistulas, the Martius flap seems to be the most indicated with better results.

conclusionRectovaginal fistula remain a challenge for surgeons and have major psycho-socio-economic repercussions for the patient. The complication of Bartholin's gland infection by rectovaginal fistula is rare. The Martius flap technique is the method of choice for recurrent rectovaginal fistulas of the lower third of the vagina or in association with other pathologies.

Indexed as

BartholinitisMartius flapRectovaginal fistulaVaginal advancement flap

Identifiers

PMID34500248
PMCPMC8429961
OpenAlexW3198777213

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.