Vesico-vaginal fistula

Case contributed by Dr Rupesh Namdev

Presentation

Hysterectomy 2 years prior, now has continuous dribbling of urine through vagina.

Patient Data

Age: 55-60Y
Gender: Female
Modality: Fluoroscopy

Intravenous urogram for a patient with continuous vaginal leak of urine shows a contrast opacified tubular structure superimposed on the urinary bladder shadow, suggestive of a fistula. Incidentally, a calyceal diverticulum is also seen in right kidney.

Modality: CT

Post IVU CT scan of pelvis shows a wide fistulous communication between the posterior wall of urinary bladder and anterior wall of vagina, with contrast in the vaginal cavity.

Case Discussion

A vesico-vaginal fistula is an abnormal fistulous communication between the urinary bladder and vagina. It is seen mostly as a complication of surgeries like hysterectomy or prolonged obstructed labour. In rare cases, a vesico-vaginal fistula may also be seen in cases of pelvic malignancies or radiotherapy patients. The patients present with involuntary and persistent leak of urine through the vagina.

For complete discussion on the condition and its radiographic features please see: vesico-vaginal fistula

PlayAdd to Share

Case Information

rID: 27666
Case created: 13th Feb 2014
Last edited: 24th Nov 2015
System: Urogenital
Inclusion in quiz mode: Excluded

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.