Presentation
Recent nephroureterectomy. Prior pelvic surgery. Catheter is situ post op. Check cystogram prior to removal.
Patient Data
Age: 70 years
Gender: Female
From the case:
Vesicovaginal 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/85749/annotated_viewer_json?iframe=true\u0026lang=us"}
Contrast fills the urinary bladder via a catheter, then promptly fills the vagina, via a short fistulous tract at the posterosuperior aspect of the bladder into the upper vagina.
Case Discussion
Prior pelvic surgery with adhesions can make for difficulties when returning at a later date for further pelvic surgical intervention.
Malignancy, inflammatory disease and radiotherapy are other potential causes of a vesicovaginal fistula.