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Laparoscopic Repair for Vesicoperitoneal Fistula with Vesicouterine Abscess
Tamaki Yahata1, Eiji Boshi2, Kazuhiko Ino1
1Department of Obstetrics and Gynecology, Wakayama Medical University, Wakayama, Japan.
Abstract:
Vesicoperitoneal fistula (VPF) is a rare form of urogenital fistulas. It is usually associated with an accidental trauma or iatrogenic injury including postoperative complications. Although it is difficult to heal the fistula conservatively, a laparoscopic repair is one of the effective methods. We report a case of VPF with vesicouterine abscess and repaired it laparoscopically. The transvaginal sonography showed the vesicouterine abscess, and a cystoscopy revealed a fistula between the vesicouterine abscess and the bladder. The abovementioned condition was confirmed at the time of laparoscopic surgery, and the fistula tract was closed laparoscopically.

