Persistent Vaginal Leakage in the Setting of an Apical Vaginal Sinus Tract: A Case Report
Autor: | Dina A. Bastawros, Michael J. Kennelly, K.J. Stepp, Hamza Mustafa Beano |
---|---|
Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Urology medicine.medical_treatment Hysterectomy 03 medical and health sciences Salpingectomy 0302 clinical medicine Prolapse medicine Humans Sinus (anatomy) Pelvic surgery 030219 obstetrics & reproductive medicine Iatrogenic injury Genitourinary system business.industry Vaginal Fistula Obstetrics and Gynecology Fallopian Tube Diseases Middle Aged Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Female business |
Zdroj: | Female pelvic medicinereconstructive surgery. 24(4) |
ISSN: | 2154-4212 |
Popis: | Fistulas are defined as abnormal connections between 2 organ, vessels, or structures. They can often present in the genitourinary tract as a result of iatrogenic injury during pelvic surgery. A 46-year-old female presents many years after a hysterectomy for persistent vaginal leakage with concern for a vesicovaginal fistula. Computed tomography urogram, intravenous retrograde pyelogram, and cystoscopy were negative for vesicovaginal fistula; however, a vaginal sinus tract was noted and further explored. This case report will describe the use of both laparoscopy and concomitant vaginoscopy to diagnose and, ultimately, surgically excise a salpingovaginal fistula. |
Databáze: | OpenAIRE |
Externí odkaz: |