Congenital Urethrovaginal Fistula With Imperforate Hymen: A First Case Report
Autor: | Girish G Nelivigi, Shal Kakkattil, Meena N. Satia, Vikash Kumar, Jayesh V Dhabalia |
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Rok vydání: | 2009 |
Předmět: |
Adult
Hymen medicine.medical_specialty Urinary Fistula business.industry Vaginal Fistula Obstetrics and Gynecology Urogenital Abnormality Urinary incontinence medicine.disease Surgery medicine.anatomical_structure Urethrovaginal fistula Humans Medicine Female medicine.symptom Presentation (obstetrics) Primary amenorrhea business Imperforate hymen |
Zdroj: | Journal of Obstetrics and Gynaecology Canada. 31:652-653 |
ISSN: | 1701-2163 |
DOI: | 10.1016/s1701-2163(16)34245-1 |
Popis: | Background Congenital urethrovaginal fistulas are rare, and all five reported cases have been associated with urogenital abnormalities. We describe a case of congenital urethrovaginal fistula with an imperforate hymen and no other urogenital abnormalities. Case A 25-year-old female sought medical advice regarding cyclical hematuria, dyspareunia, and infertility of four years' duration. Investigations disclosed a urethrovaginal fistula with an imperforate hymen. The patient was successfully treated with excision of the hymen and closure of the urethrovaginal fistula. Conclusion In this instance, the diagnosis of congenital urethrovaginal fistula was delayed until adulthood because the presence of urinary incontinence, the usual presentation of a urethrovaginal fistula, was concealed by the imperforate hymen. We could find no previously reported case of urethrovaginal fistula with imperforate hymen. |
Databáze: | OpenAIRE |
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