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Urethrovaginal fistula following vaginal prolapse of a pedunculated uterine myoma: a case report

BACKGROUND: Urethrovaginal fistulas are usually secondary to a foreign body in the vagina or to vaginal gynecologic surgeries. We present a case of an urethrovaginal fistula secondary to vaginal prolapse of a huge pedunculated submucosal uterine myoma. CASE PRESENTATION: A 25-year-old black African...

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Autores principales: Nkwabong, Elie, Fomulu, Joseph Nelson
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5651601/
https://www.ncbi.nlm.nih.gov/pubmed/29058627
http://dx.doi.org/10.1186/s13256-017-1457-2
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author Nkwabong, Elie
Fomulu, Joseph Nelson
author_facet Nkwabong, Elie
Fomulu, Joseph Nelson
author_sort Nkwabong, Elie
collection PubMed
description BACKGROUND: Urethrovaginal fistulas are usually secondary to a foreign body in the vagina or to vaginal gynecologic surgeries. We present a case of an urethrovaginal fistula secondary to vaginal prolapse of a huge pedunculated submucosal uterine myoma. CASE PRESENTATION: A 25-year-old black African woman with a past history of huge uterine fibroids and an uncomplicated vaginal delivery 5 weeks prior to presentation consulted for a difficult micturition that occurred 2 days earlier. A vaginally prolapsed huge uterine myoma was diagnosed. The fibroid was easily twisted off per vagina. Around 9 days after prolapse of the fibroid or 5 days after its removal, she complained of a vaginal leaking of urine during micturition. An urethrovaginal fistula was diagnosed using a blue dye test. The fistula was successfully repaired with polyglactin and she was discharged on day 15. CONCLUSIONS: To the best of our knowledge, this is the first case of urethrovaginal fistula secondary to delivered uterine myoma. We recommend close postpartum follow-up of women carrying huge uterine fibroid and urgent management of a vaginally prolapsed uterine fibroid to reduce the risk of urethrovaginal fistula.
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spelling pubmed-56516012017-10-26 Urethrovaginal fistula following vaginal prolapse of a pedunculated uterine myoma: a case report Nkwabong, Elie Fomulu, Joseph Nelson J Med Case Rep Case Report BACKGROUND: Urethrovaginal fistulas are usually secondary to a foreign body in the vagina or to vaginal gynecologic surgeries. We present a case of an urethrovaginal fistula secondary to vaginal prolapse of a huge pedunculated submucosal uterine myoma. CASE PRESENTATION: A 25-year-old black African woman with a past history of huge uterine fibroids and an uncomplicated vaginal delivery 5 weeks prior to presentation consulted for a difficult micturition that occurred 2 days earlier. A vaginally prolapsed huge uterine myoma was diagnosed. The fibroid was easily twisted off per vagina. Around 9 days after prolapse of the fibroid or 5 days after its removal, she complained of a vaginal leaking of urine during micturition. An urethrovaginal fistula was diagnosed using a blue dye test. The fistula was successfully repaired with polyglactin and she was discharged on day 15. CONCLUSIONS: To the best of our knowledge, this is the first case of urethrovaginal fistula secondary to delivered uterine myoma. We recommend close postpartum follow-up of women carrying huge uterine fibroid and urgent management of a vaginally prolapsed uterine fibroid to reduce the risk of urethrovaginal fistula. BioMed Central 2017-10-21 /pmc/articles/PMC5651601/ /pubmed/29058627 http://dx.doi.org/10.1186/s13256-017-1457-2 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Nkwabong, Elie
Fomulu, Joseph Nelson
Urethrovaginal fistula following vaginal prolapse of a pedunculated uterine myoma: a case report
title Urethrovaginal fistula following vaginal prolapse of a pedunculated uterine myoma: a case report
title_full Urethrovaginal fistula following vaginal prolapse of a pedunculated uterine myoma: a case report
title_fullStr Urethrovaginal fistula following vaginal prolapse of a pedunculated uterine myoma: a case report
title_full_unstemmed Urethrovaginal fistula following vaginal prolapse of a pedunculated uterine myoma: a case report
title_short Urethrovaginal fistula following vaginal prolapse of a pedunculated uterine myoma: a case report
title_sort urethrovaginal fistula following vaginal prolapse of a pedunculated uterine myoma: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5651601/
https://www.ncbi.nlm.nih.gov/pubmed/29058627
http://dx.doi.org/10.1186/s13256-017-1457-2
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