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Acute renal failure caused by complete bladder eversion through a vesicovaginal fistula
James S Dunn1, Alfred E Bent, Ronald F Tutrone
1Greater Baltimore Medical Center, 6569 North Charles Street, PPW, Baltimore, MD 21204, USA. james.dunn@60mdg.travis.af.mil
International Urogynecology Journal and Pelvic Floor Dysfunction
|January 31, 2004
Summary
A rare case of bladder eversion through a vesicovaginal fistula caused severe kidney issues. Prompt treatment involving bladder reduction and fistula repair successfully resolved the renal compromise.
Area of Science:
- Urology
- Gynecology
Background:
- Vesicovaginal fistulas can lead to rare but severe complications.
- Bladder eversion is an infrequent consequence of such fistulas.
Observation:
- A patient presented with nearly complete bladder eversion through a vesicovaginal fistula.
- This resulted in ureteral kinking, bilateral hydronephrosis, and acute renal failure.
Findings:
- Surgical reduction of bladder eversion was performed.
- Bilateral ureteral stents were placed to relieve obstruction.
- The fistula was repaired using the Latzko technique, followed by colpocleisis.
Implications:
- Successful management of bladder eversion can rapidly reverse acute renal failure.
- This case highlights the importance of recognizing and treating rare urogenital complications.
- The Latzko technique and colpocleisis are effective for fistula repair.