Uretero-vaginal fistula

Case contributed by Dr Subash Thapa

Presentation

A case of post total abdominal hysterectomy 3 weeks earlier, now with urinary incontinence through vagina

Patient Data

Age: 45 years
Gender: Female
CT

Left distal ureter is tortuous in course and there is pooling of contrast in the uterine bed extending into the vaginal canal.

There is mild left hydroureteronephrosis.

Annotated image

Coronal post contrast delayed study performed in prone position shows ureterovaginal fistula

Case Discussion

This case is an uretero-vaginal fistula which is a complication associated with hysterectomy

Surgical repair was done.

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Case information

rID: 40759
Published: 5th Nov 2015
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included