Tear of Vaginal Lobular Capillary During Micturition Resulting in Vesicovaginal Fistula: A Case Report

被引:0
|
作者
Maroyi, Raha [1 ,2 ]
Rane, Ajay [3 ]
Hayward, Lynsey [4 ]
Baharanyi, Chasinga [2 ,5 ]
Ahadi, Bwihangane Birindwa [2 ]
Mukwege, Denis [1 ,2 ]
机构
[1] Panzi Gen Referral Hosp, Dept Obstet & Gynecol, Bukavu, DEM REP CONGO
[2] Univ Evangel Afrique UEA, POB 3323, Bukavu, DEM REP CONGO
[3] James Cook Univ, Dept Obstet & Gynaecol, Townsville, Qld, Australia
[4] Middlemore Hosp, Dept Urogynaecol, Auckland, New Zealand
[5] Panzi Gen Referral Hosp, Dept Pathol, Bukavu, DEM REP CONGO
关键词
vesico-vaginal fistula; female genital fistula; lobular capillary hemangioma; etiology; surgical procedure; PYOGENIC GRANULOMA;
D O I
10.2147/IMCRJ.S351596
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report an unusual case of female genital fistula secondary to a lobular capillary hemangioma. A 35-year-old Congolese woman presented with urinary incontinence associated with a vaginal "tearing" sensation during micturition. A suburethral vascular bud and vesico-vaginal fistula were observed on examination. Over 2 weeks, the fistula enlarged to involve the trigone and bladder neck, resulting in a semi-circumferential urethro-vesico-vaginal fistula. Histology revealed a lobular capillary hemangioma. During fistula repair, the edges with vascular clusters were freshened, the genital fistula was closed and the woman became continent of urine.
引用
收藏
页码:225 / 230
页数:6
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