Vesicovaginal fistula due to an unreported foreign body in an adolescent.

Abstract

BACKGROUND:

In the United States, vesico-vaginal fistula formation is most commonly associated with prior gynecologic surgery, and only rarely with severe pressure necrosis.

CASE:

A 16-year-old girl presented with continuous urinary leakage and malodorous discharge. Examination revealed an incarcerated plastic cup in the vagina with a 5 cm vesico-vaginal fistula at the bladder neck. After trans-vaginal repair, the patient underwent full recovery with an intact continence mechanism.

CONCLUSION:

Evaluation of unusual urinary symptoms in an adolescent should include pelvic examination and/or imaging. An undisclosed vaginal foreign body is a rare, but well described entity, contributing to vesico-vaginal fistula formation.

• Authors: Nazema Y Siddiqui, Marie Fidela R Paraiso
• Journal: Journal of pediatric and adolescent gynecology (J Pediatr Adolesc Gynecol) Vol. 20 Issue 4 Pg. 253-5 (Aug 2007) ISSN: 1083-3188 [Print] United States
• PMID: 17673139 (Publication Type: Journal Article)

Topics

• Adolescent
• Female
• Foreign Bodies (complications)
• Humans
• Urination Disorders (etiology)
• Vagina
• Vesicovaginal Fistula (complications, etiology)