Published online Nov 15, 2014. doi: 10.4291/wjgp.v5.i4.487
Revised: March 27, 2014
Accepted: July 17, 2014
Published online: November 15, 2014
Core tip: Rectovaginal fistula secondary to Crohn’s disease is a devastating and disabling condition with a significant negative impact on quality of life. Furthermore, these fistulae pose an extremely challenging dilemma for the clinician with unique and often frustrating management challenges. Medical management is often futile and surgery may offer the only chance for cure. In this article, we aim to review the various treatment options to close these difficult to treat fistulae, with an emphasis on surgical technique and complex decision making.