rectovaginal fistula?
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I would say that it certainly could be possible - especially in a girl that young, and especially if there was repeated molestation. Fistulas, if not congenital, usually are a consequence of traumatic injury or severe infection and abscesses. Certainly her leukemia (especially if she were getting chemo) could have played a role. This is all speculation at this point. You would need to discuss it with her physicians.
im not really sure if it could be from sexual molestation...but here are the causes of rectovaginal fistula
Rectovaginal fistulae are often the result of trauma during childbirth (in which case it is known as obstetric fistula) in situations where there is inadequate health care, such as in some poor third world countries. Rates in Eritrea are estimated as high as 350 per 100,000 vaginal births. Women with rectovaginal fistulae are often stigmatized in these countries, and become outcasts.
Women in the West suffer similarly, mainly due to the fact that most people do not take the condition seriously. As such, discussing the disorder publicly is not something that many women feel they can do.
Rectovaginal fistulae can also be symptoms of various diseases, including infection by Lymphogranuloma venereum, or the unintended result of surgery, such as episiotomy or sexual reassignment surgery. They may present as a complication of vaginal surgery, including vaginal hysterectomy. They are a recognized presentation of rectal carcinoma or rarely diverticular disease of the bowel or Crohn's disease. They are seen rarely after radiotherapy treatment for cervical cancer.
Fistulas are usually the result of injury or surgery. So, there could be a slight possibility her problem was the result of molestation. Depends on what actually happened. It would probably be best to consult with a Doctor more familiar with this problem. Then you may even want to speak with a law-enforcement forensics type person, who could have actual case history on this. This all I know, sorry.
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