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Lateral iodinated contrast study of the colon (a) demonstrates the passage of contrast material from the rectum to vagina through a fistulous tract. Treatment begins with the passage of the wire through the fistula (b). Panel (c) shows catheterization of the fistula tract. Repeat colonography (d) confirms position before deployment of a 12 mm Amplatzer Vascular Plug in the rectovaginal fistula tract.
