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Intravesical Herniation of Tubal Fimbria Through Vesicovaginal Fistula Associated with Ureterovaginal Fistula Mimicking Bladder Mass: A Case Report of Unreported and Undescribed Hernia
BACKGROUND: One of the few remaining important issues in urological and gynaecological surgery relates to fistulas between the urinary tract and the vagina. Vesicovaginal fistula (VVF) and ureterovaginal fistulas (UVF) are defined as abnormal connections between the urinary tract, on the one side, a...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Avicenna Research Institute
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10008137/ https://www.ncbi.nlm.nih.gov/pubmed/36919053 http://dx.doi.org/10.18502/jri.v24i1.11911 |
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author | Prakash, Sankapal Arjunrao, Gite Venkat Mayank, Agrawal Mudit, Maheshwari Shashank, Sharma |
author_facet | Prakash, Sankapal Arjunrao, Gite Venkat Mayank, Agrawal Mudit, Maheshwari Shashank, Sharma |
author_sort | Prakash, Sankapal |
collection | PubMed |
description | BACKGROUND: One of the few remaining important issues in urological and gynaecological surgery relates to fistulas between the urinary tract and the vagina. Vesicovaginal fistula (VVF) and ureterovaginal fistulas (UVF) are defined as abnormal connections between the urinary tract, on the one side, and the female genital system, on the other. CASE PRESENTATION: This study is about an unreported and undescribed case of 24 year old female who presented with the complaints of continuous urinary incontinence for 18 months following total abdominal hysterectomy. Preoperative cystoscopy and vaginal/speculum findings revealed a papillary frond like mass protruding intravesically from VVF site which was free from the edges of fistulous opening all around. Also, left ureteric orifice was not visualized. On exploration, there was evidence of intravesical herniation of right tubal fimbria through the common opening of VVF and left UVF near left vaginal vault apex mimicking a bladder mass presenting with continuous incontinence for 18 months. Modified O’ Conners VVF repair with left ureteric reimplantation was done. The postoperative period was uneventful with patient having no incontinence. CONCLUSION: It seems that surgical resection of ovarian cyst with VVF and UVF repair is the definitive treatment and histopathological examination is essential to exclude malignant transformation. |
format | Online Article Text |
id | pubmed-10008137 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Avicenna Research Institute |
record_format | MEDLINE/PubMed |
spelling | pubmed-100081372023-03-13 Intravesical Herniation of Tubal Fimbria Through Vesicovaginal Fistula Associated with Ureterovaginal Fistula Mimicking Bladder Mass: A Case Report of Unreported and Undescribed Hernia Prakash, Sankapal Arjunrao, Gite Venkat Mayank, Agrawal Mudit, Maheshwari Shashank, Sharma J Reprod Infertil Case Report BACKGROUND: One of the few remaining important issues in urological and gynaecological surgery relates to fistulas between the urinary tract and the vagina. Vesicovaginal fistula (VVF) and ureterovaginal fistulas (UVF) are defined as abnormal connections between the urinary tract, on the one side, and the female genital system, on the other. CASE PRESENTATION: This study is about an unreported and undescribed case of 24 year old female who presented with the complaints of continuous urinary incontinence for 18 months following total abdominal hysterectomy. Preoperative cystoscopy and vaginal/speculum findings revealed a papillary frond like mass protruding intravesically from VVF site which was free from the edges of fistulous opening all around. Also, left ureteric orifice was not visualized. On exploration, there was evidence of intravesical herniation of right tubal fimbria through the common opening of VVF and left UVF near left vaginal vault apex mimicking a bladder mass presenting with continuous incontinence for 18 months. Modified O’ Conners VVF repair with left ureteric reimplantation was done. The postoperative period was uneventful with patient having no incontinence. CONCLUSION: It seems that surgical resection of ovarian cyst with VVF and UVF repair is the definitive treatment and histopathological examination is essential to exclude malignant transformation. Avicenna Research Institute 2023 /pmc/articles/PMC10008137/ /pubmed/36919053 http://dx.doi.org/10.18502/jri.v24i1.11911 Text en Copyright© 2023, Avicenna Research Institute. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) |
spellingShingle | Case Report Prakash, Sankapal Arjunrao, Gite Venkat Mayank, Agrawal Mudit, Maheshwari Shashank, Sharma Intravesical Herniation of Tubal Fimbria Through Vesicovaginal Fistula Associated with Ureterovaginal Fistula Mimicking Bladder Mass: A Case Report of Unreported and Undescribed Hernia |
title | Intravesical Herniation of Tubal Fimbria Through Vesicovaginal Fistula Associated with Ureterovaginal Fistula Mimicking Bladder Mass: A Case Report of Unreported and Undescribed Hernia |
title_full | Intravesical Herniation of Tubal Fimbria Through Vesicovaginal Fistula Associated with Ureterovaginal Fistula Mimicking Bladder Mass: A Case Report of Unreported and Undescribed Hernia |
title_fullStr | Intravesical Herniation of Tubal Fimbria Through Vesicovaginal Fistula Associated with Ureterovaginal Fistula Mimicking Bladder Mass: A Case Report of Unreported and Undescribed Hernia |
title_full_unstemmed | Intravesical Herniation of Tubal Fimbria Through Vesicovaginal Fistula Associated with Ureterovaginal Fistula Mimicking Bladder Mass: A Case Report of Unreported and Undescribed Hernia |
title_short | Intravesical Herniation of Tubal Fimbria Through Vesicovaginal Fistula Associated with Ureterovaginal Fistula Mimicking Bladder Mass: A Case Report of Unreported and Undescribed Hernia |
title_sort | intravesical herniation of tubal fimbria through vesicovaginal fistula associated with ureterovaginal fistula mimicking bladder mass: a case report of unreported and undescribed hernia |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10008137/ https://www.ncbi.nlm.nih.gov/pubmed/36919053 http://dx.doi.org/10.18502/jri.v24i1.11911 |
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