{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:53:52Z","timestamp":1740174832283,"version":"3.37.3"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,7,8]],"date-time":"2020-07-08T00:00:00Z","timestamp":1594166400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,7,8]],"date-time":"2020-07-08T00:00:00Z","timestamp":1594166400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Rectovaginal fistula (RVF) following aluminum potassium sulfate hydrate-tannic acid (ALTA) injection therapy for hemorrhoids is a rare complication. We report the first case of RVF after ALTA injection therapy successfully treated by gluteal-fold flap.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>A 49-year-old female suffered from a fever and rectal ulcer after undergoing internal hemorrhoid treatment with a submucosal ALTA injection at a previous clinic. One week after ALTA therapy, she noted obvious passage of flatus and stool through the vagina, and was diagnosed with RVF by anoscope at another clinic. She was referred to our hospital 3\u2009weeks after ALTA therapy. Sigmoid colostomy was performed for fecal diversion as a preliminary step for fistula repair. However, the fistula was scarred and the defect between the rectum and vagina did not improve at all. Ten months after ALTA therapy, we performed fistula repair by gluteal-fold flap. Seven months later, sigmoid-colostomy reversal was performed. The patient has experienced no RVF in the 3\u2009years since sigmoid-colostomy reversal.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>The gluteal-fold flap strategy is a useful option for severe RVF management.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s40792-020-00925-7","type":"journal-article","created":{"date-parts":[[2020,7,8]],"date-time":"2020-07-08T13:03:51Z","timestamp":1594213431000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Gluteal-fold flap repair of rectovaginal fistula caused by aluminum potassium sulfate hydrate-tannic acid injection for internal hemorrhoids: a case report"],"prefix":"10.1186","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9537-6718","authenticated-orcid":false,"given":"Masanori","family":"Yoshimitsu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Egi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shogo","family":"Nagamatsu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manabu","family":"Shimomura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keishi","family":"Hakoda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masashi","family":"Miguchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshihiko","family":"Kohashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masazumi","family":"Okajima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideki","family":"Ohdan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,7,8]]},"reference":[{"issue":"4","key":"925_CR1","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1254\/jphs.FPJ05026X","volume":"99","author":"T Ono","year":"2005","unstructured":"Ono T, Goto K, Takagi S, Iwasaki S, Komatsu H. Sclerosing effect of OC-108, a novel agent for hemorrhoids, is associated with granulomatous inflammation induced by aluminum. Journal of pharmacological sciences. 2005;99(4):353\u201363.","journal-title":"Journal of pharmacological sciences."},{"issue":"3","key":"925_CR2","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1254\/jphs.FP0060583","volume":"102","author":"T Ono","year":"2006","unstructured":"Ono T, Nakagawa H, Fukunari A, Hashimoto T, Komatsu H. Hemostatic action of OC-108, a novel agent for hemorrhoids, is associated with regional blood flow arrest induced by acute inflammation. Journal of pharmacological sciences. 2006;102(3):314\u201320.","journal-title":"Journal of pharmacological sciences."},{"issue":"20","key":"925_CR3","doi-asserted-by":"publisher","first-page":"844","DOI":"10.4254\/wjh.v8.i20.844","volume":"8","author":"H Miyamoto","year":"2016","unstructured":"Miyamoto H, Hada T, Ishiyama G, Ono Y, Watanabe H. Aluminum potassium sulfate and tannic acid sclerotherapy for Goligher grades II and III hemorrhoids: results from a multicenter study. World journal of hepatology. 2016;8(20):844\u20139.","journal-title":"World journal of hepatology."},{"issue":"6","key":"925_CR4","doi-asserted-by":"publisher","first-page":"581","DOI":"10.5946\/ce.2019.017","volume":"52","author":"Y Tomiki","year":"2019","unstructured":"Tomiki Y, Aoki J, Motegi S, Takahashi R, Hagiwara T, Okazawa Y, et al. Effectiveness of endoscopic sclerotherapy with aluminum potassium sulfate and tannic acid as a non-surgical treatment for internal hemorrhoids. Clinical endoscopy. 2019;52(6):581\u20137.","journal-title":"Clinical endoscopy."},{"key":"925_CR5","first-page":"517690","volume":"2015","author":"Y Tomiki","year":"2015","unstructured":"Tomiki Y, Ono S, Aoki J, Takahashi R, Ishiyama S. Sugimoto K, et al. Treatment of internal hemorrhoids by endoscopic sclerotherapy with aluminum potassium sulfate and tannic acid. diagnostic and therapeutic endoscopy. 2015;2015:517690.","journal-title":"Treatment of internal hemorrhoids by endoscopic sclerotherapy with aluminum potassium sulfate and tannic acid. diagnostic and therapeutic endoscopy."},{"issue":"1","key":"925_CR6","first-page":"54","volume":"16","author":"NE Samalavicius","year":"2013","unstructured":"Samalavicius NE, Gupta RK. Graciloplasty for the rectovaginal fistula after chemoradiation followed by total mesorectal excision for rectal cancer. Archives of Iranian medicine. 2013;16(1):54\u20135.","journal-title":"Archives of Iranian medicine."},{"key":"925_CR7","unstructured":"Koganei K, Kimura H, Sugita A, Arai K, Fukushima T, Shimada H. [Clinical experiences of five cases with ulcerative colitis and recto- or anovaginal fistula]. Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology. 2006;103(12):1355-60."},{"issue":"3","key":"925_CR8","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1016\/j.surg.2004.10.004","volume":"137","author":"C Kosugi","year":"2005","unstructured":"Kosugi C, Saito N, Kimata Y, Ono M, Sugito M, Ito M, et al. Rectovaginal fistulas after rectal cancer surgery: incidence and operative repair by gluteal-fold flap repair. Surgery. 2005;137(3):329\u201336.","journal-title":"Surgery."},{"issue":"7","key":"925_CR9","doi-asserted-by":"publisher","first-page":"615","DOI":"10.1007\/s00595-008-3883-7","volume":"39","author":"K Onishi","year":"2009","unstructured":"Onishi K, Ogino A, Saida Y, Maruyama Y. Repair of a recurrent rectovaginal fistula using gluteal-fold flap: report of a case. 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Journal of plastic, reconstructive & aesthetic surgery: JPRAS. 2014;67(11):1587-1590.","DOI":"10.1016\/j.bjps.2014.05.048"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-020-00925-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-020-00925-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-020-00925-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,7]],"date-time":"2021-07-07T23:18:49Z","timestamp":1625699929000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-020-00925-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,8]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["925"],"URL":"https:\/\/doi.org\/10.1186\/s40792-020-00925-7","relation":{},"ISSN":["2198-7793"],"issn-type":[{"type":"electronic","value":"2198-7793"}],"subject":[],"published":{"date-parts":[[2020,7,8]]},"assertion":[{"value":"9 May 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 June 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 July 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The patient has provided written informed consent for the publication of data and images.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"166"}}