Vesicovaginal fistula due to an unreported foreign body in an adolescent.
BACKGROUND
In the United States, vesico-vaginal fistula formation is most commonly associated with prior gynecologic surgery, and only rarely with severe pressure necrosis.


METHODS
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.


CONCLUSIONS
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.
Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio 44195, USA.
Nazema Y
NY
Siddiqui
Marie Fidela R
MF
Paraiso
D000293:Adolescent; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D014555:Urination Disorders / Q000209:etiology; D014621:Vagina; D014719:Vesicovaginal Fistula / Q000150:complications / Q000209:etiology*