Vesicovaginal fistula, bladder calculus, retained foreign body or all of the above? The unusual presentation of a female with total urinary incontinence

Autor: L. Paik, S. Smit, H. van Heerden, K. du Toit, A. van der Merwe, C. Heyns
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: African Journal of Urology, Vol 20, Iss 2, Pp 99-101 (2014)
Druh dokumentu: article
ISSN: 1110-5704
DOI: 10.1016/j.afju.2014.02.002
Popis: A 78-year-old female with total urinary incontinence was referred to Tygerberg Hospital. On physical exam a firm mass consistent with a stone was palpated along the anterior vagina and confirmed with KUB X-ray and ultrasonography. Under general anesthesia cystolithalopaxy was performed and the vaginal component was removed manually. A foreign body (aerosol cap) was identified in the vagina as the underlying cause. The aerosol cap had eroded through the anterior vaginal wall resulting in a vesicovaginal fistula. A biopsy of the fistulous tract demonstrated granulation tissue with no evidence of malignancy. A discussion of retained foreign bodies causing vesicovaginal fistula, specifically aerosol bottle caps, follows.
Databáze: Directory of Open Access Journals