Acute renal failure caused by complete bladder eversion through a vesicovaginal fistula.
We report a rare case of bladder eversion through a vesicovaginal fistula. The bladder prolapse was almost complete, resulting in ureteral kinking, bilateral hydronephrosis and acute renal failure. After reduction of the bladder eversion, bilateral ureteral stent placement, fistula repair using the Latzko technique and colpocleisis, the patient had rapid resolution of her renal compromise.
Dunn
James S
JS
Greater Baltimore Medical Center, 6569 North Charles Street, PPW, Baltimore, MD 21204, USA. james.dunn@60mdg.travis.af.mil
Bent
Alfred E
AE
Tutrone
Ronald F
RF
Ellerkmann
R Mark
RM
D058186:Acute Kidney Injury / Q000209:etiology*; D000368:Aged; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D011391:Prolapse; D014513:Ureter / Q000473:pathology; D001745:Urinary Bladder Diseases / Q000150:complications* / Q000601:surgery; D013520:Urologic Surgical Procedures / Q000379:methods*; D014719:Vesicovaginal Fistula / Q000150:complications* / Q000473:pathology* / Q000601:surgery