Presentation
Previous hysterectomy for cervical cancer.
Patient Data
Age: 45 years
Gender: Female
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Bladder filled via urethral catheter with 350mls of water soluble contrast.
Bilateral grade 2 vesicoureteric reflux.
Contrast fills the vaginal vault.
Case Discussion
Vesicovaginal fistulas can occur as a complication of pelvic surgery. This case is a good illustration of the appearance on fluoroscopy.
The patient had had previous surgery for vesicovaginal fistula, and also complained of dampness in the vagina during the image acquisition giving further evidence to this diagnosis.