Vesicovaginal fistula following large-loop excision of the transformation zone in a chronic systemic glucocorticoid user.

Abstract

A 42-year-old woman with a history of a large-loop excision of transformation zone for cervical intraepithelial neoplasia III four years previously visited our outpatient department for cervical intraepithelial neoplasia I that newly detected by colposcopy-directed punch biopsy. Her other medical conditions include systemic lupus erythematosus on daily prednisolone 15 mg during 19 years. After second large-loop excision of transformation zone, delayed vesicovaginal fistula was confirmed by indigo carmine leakage test, computed tomography scan, and cystoscopy. Fistula was primarily repaired with indwelling double-J catheters with anchoring omentum on suture site.

• Authors: Kyung Eui Park, Seung-Yup Ku, Hee Seung Kim, Cheol Kwak, Seok Hyun Kim, Young Min Choi, Jung Gu Kim, Shin Yong Moon
• Journal: The journal of obstetrics and gynaecology research (J Obstet Gynaecol Res) Vol. 37 Issue 10 Pg. 1459-62 (Oct 2011) ISSN: 1447-0756 [Electronic] Australia
• PMID: 21535307 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2011 The Authors. Journal of Obstetrics and Gynaecology Research © 2011 Japan Society of Obstetrics and Gynecology.

Chemical References

• Glucocorticoids
• Prednisolone

Topics

• Adult
• Cervix Uteri (pathology, surgery)
• Female
• Glucocorticoids (therapeutic use)
• Gynecologic Surgical Procedures (adverse effects)
• Humans
• Lupus Erythematosus, Systemic (complications, drug therapy)
• Prednisolone (therapeutic use)
• Uterine Cervical Neoplasms (complications, pathology, surgery)
• Vesicovaginal Fistula (etiology, pathology)
• Uterine Cervical Dysplasia (complications, pathology, surgery)