Presentation
Hysterectomy 2 months ago. Discharge of urine through the vagina.
Patient Data
Age: 45 years
Gender: Female
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After a hysterectomy, fat stranding in the pelvis has persisted.
The excretion of contrast from the bladder into the vagina via a fistulous tract is visible on the delayed phase.
From the case:
Vesicovaginal fistula
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Red arrows indicate the fistulous tract between the dome of the bladder and the vaginal vault.
Case Discussion
This case is an excellent illustration of vesicovaginal fistula on delayed CT images. The patient had a previous hysterectomy which is the commonest cause for vesicovaginal fistula.