AI Article Synopsis
- Congenital vesicovaginal fistula (VVF) is a rare condition often linked with complex genitourinary malformations that may not be immediately recognized.
- The case presented involved a bifid ureter insertion leading to an uretero-VVF, along with other conditions like a transverse vaginal septum, solitary crossed renal ectopia, and a bicornuate uterus.
- Women experiencing menouria (blood in urine) without regular menstruation should undergo thorough evaluations to identify any obstructive vaginal anomalies and atypical fistulous connections before considering surgery.
Article Abstract
Background: Congenital vesicovaginal fistula (VVF) is a very uncommon condition rarely suspected at initial presentation. It is usually seen in association with complex malformations of the genitourinary tract.
Case: A bifid insertion of the solitary ureter causing an uretero-VVF was associated with an obstructing transverse vaginal septum manifesting as menouria. Also seen were solitary crossed renal ectopia, bicornuate uterus and skeletal anomalies.
Conclusion: In women with menouria without vaginal menstruation, pre-operative evaluation to detect an obstructive vaginal anomaly and unusual uretero-vesicovaginal fistulous communications is necessary before surgical intervention.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2808662 | PMC |
| http://dx.doi.org/10.4103/0970-1591.57924 | DOI Listing |
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