Ileal pouch–vaginal fistula

Ileal pouch–vaginal fistula

Ileal pouch–vaginal fistula is most commonly due to an anastomotic complication; however, a delayed presentation may reflect an underlying diagnosis of CD rather than UC. Management depends on cause: biological therapy for CD, diverting ileostomy if there is complex sepsis, and definitive repair with interposition of native tissue if the sepsis resolves and CD has been excluded.