Introduction

An intestinovaginal fistulae is a rare condition characterized by a fistula between the bowel lumen and vagina, usually in women.   The most common cause of fistulae is diverticular disease{Hjern:2007jv}{Aydinli:2016dg}, followed by Crohn's disease{Andreani:2007jj}.  Other etiologies include malignancy, sequelae of radiation therapy{Narayanan:2009bu}, obstetric injury, pelvic surgery{Fleshner:1992vb}{OKelly:1994dd}, and trauma. These fistulae can occur in the absence of a hysterectomy, though they are more commonly encountered in the setting of a prior hysterectomy{Hjern:2007kf}. A fistula can be described as high or low, originating above or below 8 cm from the anal verge, respectively{Fleshner:1992vb}.