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Vesicovaginal Fistula: Ultrasound Delineation and Pathological Correlation
Author(s) -
Carrington Bernadette M,
Johnson Richard J.
Publication year - 1990
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.1990.18.8.674
Subject(s) - medicine , fulguration , complication , vesicovaginal fistula , surgery , fistula , malignancy , urethra , hysterectomy , radiology
Worldwide, the most common cause of vesicovaginal fistula (VVF) is obstructed labor causing bladder ischemia, but in Western countries it occurs most often as a complication of gynecological surgery, especially abdominal hysterectomy. 1 It may also occur as a complication of urological procedures—urethral dilatation, plastic bladder repair, and papilloma fulguration. Less common causes are trauma, sepsis, radiotherapy, and malignancy. It is a recorded complication of a large bladder calculus. 2 We present a patient with carcinoma of the cervix in whom a VVF occurred immediately postradiotherapy. Ultrasound examination clearly demonstrated the position and size of the fistula.