Ureterovaginal fistula: A complication of a vaginal foreign body

To know the diagnostic tools and proper management of ureterovaginal fistula following neglected vaginal foreign body in order to achieve optimal outcome. A case of ureterovaginal fistula associated with a neglected vaginal foreign body. The patient was complaining of a foul-smelling vaginal dischar...

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Bibliographic Details
Published inTaiwanese journal of obstetrics & gynecology Vol. 57; no. 1; pp. 150 - 152
Main Authors Lo, Tsia-Shu, Jaili, Sukanda Bin, Ibrahim, Rami, Kao, Chuan Chi, Uy-Patrimonio, Ma Clarissa
Format Journal Article
LanguageEnglish
Published China (Republic : 1949- ) Elsevier B.V 01.02.2018
Elsevier
Subjects
Ureteroneocystostomy
Ureterovaginal fistula
Vagina foreign body
Vagina foreign body
Ureterovaginal fistula
Ureteroneocystostomy
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Summary:To know the diagnostic tools and proper management of ureterovaginal fistula following neglected vaginal foreign body in order to achieve optimal outcome. A case of ureterovaginal fistula associated with a neglected vaginal foreign body. The patient was complaining of a foul-smelling vaginal discharge and lower abdominal pain. On vaginal examination, a hard and large foreign body was found. Examination under anesthesia was performed, and an aerosol cap was removed from her vagina. The patient developed urinary incontinence after removal of the foreign body. Subsequent work-up demonstrated the presence of a right ureterovaginal fistula. The patient underwent an abdominal ureteroneocystostomy. At one year follow up, the patient had fully recovered. Ureterovaginal fistula following neglected vaginal foreign body is a serious condition. Early diagnosis, treatment of infection and proper surgical management can improve the outcome and decrease complications.
ISSN:1028-4559
1875-6263
DOI:10.1016/j.tjog.2017.12.026