Case Of the Week (COW) 21 Dec 2014
Answer:
Vesico-vaginal fistula.
Findings:
Rent is noted in postero-inferior wall of the urinary bladder , communicating with vagina. Filling defects, - Suggestive of thrombus noted in the pelvic veins mainly in the left side.
Discussion:
The features are consistent with Large vesico-vaginal fistula . the patient had history of Obstructed labour with IUD . Causes of vesicovaginal fistula include iatrogenic, cervical or bladder carcinoma, obstetric injury, radiation, and foreign body. it presents clinically with continuous urinary incontinence. MDCT accurately depicts the fistulous communication as well as provides information about size and relationship to adjoining structures .
Contributed By:
Dr. Babu Peter, Dr. Srinivasa Raman, Dr. Suriya Kumar
Consultant Radiologists
BIR, Anderscan Diagnostics
Answer:
Vesico-vaginal fistula.
Findings:
Rent is noted in postero-inferior wall of the urinary bladder , communicating with vagina. Filling defects, - Suggestive of thrombus noted in the pelvic veins mainly in the left side.
Discussion:
The features are consistent with Large vesico-vaginal fistula . the patient had history of Obstructed labour with IUD . Causes of vesicovaginal fistula include iatrogenic, cervical or bladder carcinoma, obstetric injury, radiation, and foreign body. it presents clinically with continuous urinary incontinence. MDCT accurately depicts the fistulous communication as well as provides information about size and relationship to adjoining structures .
Contributed By:
Dr. Babu Peter, Dr. Srinivasa Raman, Dr. Suriya Kumar
Consultant Radiologists
BIR, Anderscan Diagnostics