Vesicovaginal fistula

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Previous pelvic surgery.

Patient Data

Age: 40 years
Gender: Female
Fluoroscopy

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

Vesicovaginal fistula can occur as a complication of pelvic surgery and is the most common predisposing factor. This case is a good illustration of the vesicovaginal fistula on fluoroscopy. 

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