Vesicovaginal fistula due to an unreported foreign body in an adolescent
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Published on: February 10, 2023
Nazema Y Siddiqui1, Marie Fidela R Paraiso
1Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio 44195, USA.
Background:
In the United States, vesico-vaginal fistula formation is most commonly associated with prior gynecologic surgery, and only rarely with severe pressure necrosis.
Case:
A 16-year-old girl presented with continuous urinary leakage and malodorous discharge. Examination revealed an incarcerated plastic cup in the vagina with a 5 cm vesico-vaginal fistula at the bladder neck. After trans-vaginal repair, the patient underwent full recovery with an intact continence mechanism.
Conclusion:
Evaluation of unusual urinary symptoms in an adolescent should include pelvic examination and/or imaging. An undisclosed vaginal foreign body is a rare, but well described entity, contributing to vesico-vaginal fistula formation.
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