An unusual complication of vesical stones.
The author reports a complicated recurrence of genital tract fistula. The initial vesicovaginal fistula resulted from obstructed labor, which was subsequently surgically managed without success. The patient had a recurrent vesicovaginal fistula that was formed by the erosion of vesical stones through the anterior endopelvic fascia into the vagina. The stones eventually eroded into the rectum, resulting in the formation of a complex vesicovaginal and rectovaginal fistula.
Singh
K
K
Department of Gynecology, Royal Free and University College Medical School, London, UK. kavita@rfhsm.ac.uk
D005260:Female; D006801:Humans; D008875:Middle Aged; D012006:Rectovaginal Fistula / Q000209:etiology* / Q000601:surgery; D001744:Urinary Bladder Calculi / Q000150:complications* / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000209:etiology* / Q000601:surgery