Rektovajinal fistüller genellikle dogum sirasindaki obstetrik travmalara,rektal veya jinekolojik malignitelere bagli, malign lezyonlarin cerrahiveya radyoterapisi sonrasi görülür. Rektovajinal fistüllere en çok genelcerrahi ve jinekoloji kliniklerinde rastlanir. Bununla birlikte bu lezyonlargastroenteroloji pratiginde nadiren görülür. Gastroenteroloji kliniginderektovajinal fistüllerle Crohn hastaligi seyrinde karsilasabiliriz. Bu lezyonlar hastalarin yasam kalitesini kötülestirir, morbidite ve mortaliteyiarttirir. Endoskopi, fistül lokalizasyonunu saptamada ve dogru tedavimodalitesini seçmede yardimci olabilir. Endoskopi bazen de endoklipveya stent kullanilarak tedavide kullanilabilir. Rektovajinal fistülün tipiksikayetleri vajinadan hava, gaz veya mukus gelmesidir. Disparöni, perineal agri veya rekürren vajinal enfeksiyonlar da görülebilir. Rektal kanama sik görülen bir bulgusu degildir. Burada over karsinomu nedeniyledebulking cerrahi operasyonu sonrasi massif rektal kanama ile presenteolan nadir bir rektovajinal fistül vakasini sunacagiz
Rectovaginal fistula is usually observed due to obstetric traumas duringgiving birth, rectal or gynecologic malignities or after surgical therapyof malignant lesions or radiotherapy. Rectovaginal fistulas are not common in general surgery and gynecology clinics. However, these lesionsare rarely seen during gastroenterology practice. In gastroenterologypractice, we may face with rectovaginal fistula during Crohn’s disease’scourse. These lesions deteriorate patients’ quality of life and increasemorbidity and mortality. Endoscopy may be used to detect the localization of fistula and may help to choose correct treatment modality.Endoscopy sometimes may also be used to treat rectovaginal fistulavia endoclips or stents. Typical complaints for rectovaginal fistulas areair, gas, or mucus discharge from vagina. Dyspareunia, perineal pain,or recurrent vaginal infections may also be seen. Rectal bleeding is nota common complaint for rectovaginal fistulas. Herein we report a rarecase with rectovaginal fistula presenting with massive rectal bleedingafter debulking surgery for ovarian carcinoma