title: [Peritoneovaginal fistula after vaginal hysterectomy].
abstract: Peritoneovaginal fistula is a rare complication of hysterectomy. A patient with pelvic pain and vaginal discharge due to peritoneovaginal fistula, 6 months after hysterectomy, is presented. The laparoscopic approach with an intravaginal blue-test, provided the evidence of the peritoneovaginal fistula. The transvaginal approach offered a surgical closure of the fistula and a resolution of the symptoms. In addition, we have reviewed the literature, the symptoms, the differential diagnosis and the management of this problem.
authors.affiliation: Service de gynécologie chirurgicale, hôpital Jeanne-de-Flandre, CHRU de Lille, 59037 cedex, Lille, France.
authors.forename: Y
authors.initials: Y
authors.lastname: Zafrani
authors.forename: M P
authors.initials: MP
authors.lastname: Chauvet
authors.forename: B
authors.initials: B
authors.lastname: Occelli
authors.forename: G
authors.initials: G
authors.lastname: Crépin
authors.forename: M
authors.initials: M
authors.lastname: Cosson
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D005402:Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects*; D010535:Laparoscopy; D007973:Leukorrhea / Q000209:etiology; D008751:Methylene Blue; D008875:Middle Aged; D017699:Pelvic Pain / Q000209:etiology; D010532:Peritoneal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013536:Suture Techniques; D016896:Treatment Outcome; D014624:Vaginal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery
chemical_list: D008751:Methylene Blue