AI Article Synopsis
- A 34-year-old woman developed continuous urinary incontinence after undergoing a hysterectomy, prompting further investigation.
- A cystogram initially indicated a vesicovaginal fistula and a potential intestinal connection, but additional imaging confirmed the diagnosis of a fallopian tube prolapse with salpingovesicovaginal fistula instead.
- This case underscores the need for various imaging techniques to effectively identify and understand complex gynecological fistulas, highlighting that salpingovesical fistula, although rare, should be considered in similar clinical scenarios.
Article Abstract
Fallopian tube fistula with the bladder can mimic an enterovaginal fistula. A 34-year-old woman presented with continuous urinary incontinence after hysterectomy. A cystogram confirmed a vesicovaginal fistula and a possible additional intestinal communication. Further imaging, however, ruled out an enterovaginal fistula and diagnosed a fallopian tube prolapse with salpingovesicovaginal fistula. This case demonstrates the importance of multiple imaging modalities in identifying and clearly delineating the anatomy of gynecologic fistulous connections. The case illustrates the fact that while salpingovesical fistula is a rare complication of hysterectomy, it is an important consideration in one's differential diagnosis.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7338992 | PMC |
| http://dx.doi.org/10.1016/j.radcr.2020.05.063 | DOI Listing |
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