Presentation
Had a total hysterectomy 2 months ago for diffuse adenomyosis with an endometrial polyp since that she presents an Involuntary discharge of urine through the vagina. Pelvic MRI was performed with vaginal opacification (ultrasound gel).
Patient Data
Age: 45 years
Gender: Female
From the case:
Vesico-vaginal fistula
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/106422/annotated_viewer_json?iframe=true\u0026lang=us"}
There is an abnormal fistulous tract (width = 6 mm) between the posterosuperior angle of the urinary bladder and vagina in keeping with a vesico-vaginal fistula.
Case Discussion
The clinical history and the MRI features are consistent with a vesicovaginal fistula.
Hysterectomy and prolonged obstructed labor are the commonest predisposing factors for vesico-vaginal fistula.