Vesicovaginal fistula

Case contributed by Dr Servet Kahveci

Presentation

Intermittent vaginal wetting, especially on standing; status post hysterectomy. Cystoscopy was normal.

Patient Data

Age: 40 years
Gender: Female
CT

No extravasation of contrast material from the bladder.

 

CT

CT after maneuver to increase intra-abdominal pressure

Contrast material from bladder enters the vaginal canal after the patient was asked to stand upright for two minutes in an attempt to increase the intra-abdominal pressure.

No distinct fistula tract can be seen.

Annotated image

Contrast material from bladder into the vaginal canal (yellow arrow) after the patient was asked to stand upright for two minutes in an attempt to increase the intra-abdominal pressure.

Black arrow shows irregularity and protrusion of bladder wall with no distinct fistula tract.

Case Discussion

Vesicovaginal fistula is the most commonly acquired fistula of the urinary tract and is rarely seen as a postoperative complication of hysterectomy. 

PlayAdd to Share

Case information

rID: 60360
Published: 24th May 2018
Last edited: 24th May 2018
System: Urogenital
Inclusion in quiz mode: Included
Institution: Sevgi Private Hospital

Updating… Please wait.

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

 Thank you for updating your details.