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Perianal abscess as a manifestation of vaginocutaneous fistula after pelvic floor reconstruction
  1. Mhd Firas Safadi and
  2. Matthias Berger
  1. General, Visceral and Proctological Surgery, DIAKOMED Diakoniekrankenhaus Chemnitzer Land gGmbH, Hartmannsdorf, Saxony, Germany
  1. Correspondence to Dr Mhd Firas Safadi; doctor.safadi{at}


We present a case of vaginocutaneous fistula 10 years after pelvic floor reconstruction using transvaginal mesh implantation. The female patient in her mid-60s presented with typical symptoms of perianal abscess. After undergoing three surgical operations, the perianal infection was shown to be due to the implanted mesh as a late complication of the reconstruction. The patient was successfully managed with limited removal of the mesh tails. The case highlights one of the late complications of pelvic floor reconstruction using synthetic meshes.

  • General surgery
  • Obstetrics and gynaecology

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  • Contributors MFS researched the literature and drafted the text. MB prepared the images, provided the follow-up information and revised the work. Both authors operated the patient, provided the postoperative care and approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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