{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T12:56:00Z","timestamp":1771332960014,"version":"3.50.1"},"reference-count":6,"publisher":"Springer Science and Business Media LLC","issue":"1","content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Surg Onc"],"published-print":{"date-parts":[[2005,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Rectovaginal fistula is uncommon after lower anterior resection for rectal cancer. The most leading cause of this complication is involvement of the posterior wall of the vagina into the staple line when firing the circular stapler.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation<\/jats:title>\n            <jats:p>A 50-year-old women underwent resection for obstructed carcinoma of the sigmoid colon with Hartmann procedure. Four months later she underwent restorative surgery with circular stapler. Following which she developed rectovaginal fistula. A transvaginal repair was performed but stool passing from vagina not per rectum. Laporotomy revealed colovaginal anastomosis, which was corrected accordingly. Patient had an uneventful recovery.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Inadvertent formation of colovaginal anastomosis associated with a rectovaginal fistula is a rare complication caused by the operator's error. The present case again highlights the importance of ensuring that the posterior wall of vagina is away from the staple line.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1477-7819-3-74","type":"journal-article","created":{"date-parts":[[2005,11,15]],"date-time":"2005-11-15T07:14:58Z","timestamp":1132038898000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Colovaginal anastomosis: an unusual complication of stapler use in restorative procedure after Hartmann operation"],"prefix":"10.1186","volume":"3","author":[{"given":"Zhongshu","family":"Yan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guoqing","family":"Liao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2005,11,15]]},"reference":[{"key":"151_CR1","first-page":"165","volume":"36","author":"V Bard","year":"1993","unstructured":"Bard V, Cohen Z, Ross T: An unusual intraoperative complication of stapled colorectal anastomosis: report of a case and review of the literature. 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J Surg Oncol. 1996, 61: 155-158. 10.1002\/(SICI)1096-9098(199602)61:2<155::AID-JSO12>3.0.CO;2-8.","journal-title":"J Surg Oncol"},{"key":"151_CR4","doi-asserted-by":"publisher","first-page":"579","DOI":"10.1007\/BF02554801","volume":"30","author":"HK Antonsen","year":"1987","unstructured":"Antonsen HK, Kronborg D: Early complications after low anterior resection for rectal cancer using the EEA stapling device. Dis Colon Rectum. 1987, 30: 579-583.","journal-title":"Dis Colon Rectum"},{"key":"151_CR5","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1007\/BF02048112","volume":"35","author":"JC Rex","year":"1992","unstructured":"Rex JC, Khubchandani IT: Rectovaginal fistula complication of low anterior resection. Dis Colon Rectum. 1992, 35: 350-356. 10.1007\/BF02048112.","journal-title":"Dis Colon Rectum"},{"key":"151_CR6","doi-asserted-by":"publisher","first-page":"310","DOI":"10.1007\/BF02053522","volume":"36","author":"G Arbman","year":"1993","unstructured":"Arbman G: Rectovaginal fistulas and the double-stapling technique. Dis Colon Rectum. 1993, 36: 310-311. 10.1007\/BF02053522.","journal-title":"Dis Colon Rectum"}],"container-title":["World Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1477-7819-3-74.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,31]],"date-time":"2021-08-31T22:40:12Z","timestamp":1630449612000},"score":1,"resource":{"primary":{"URL":"https:\/\/wjso.biomedcentral.com\/articles\/10.1186\/1477-7819-3-74"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,11,15]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2005,12]]}},"alternative-id":["151"],"URL":"https:\/\/doi.org\/10.1186\/1477-7819-3-74","relation":{},"ISSN":["1477-7819"],"issn-type":[{"value":"1477-7819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,11,15]]},"assertion":[{"value":"21 June 2005","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 November 2005","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 November 2005","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"74"}}