title: Vesicovaginal fistula following large-loop excision of the transformation zone in a chronic systemic glucocorticoid user.
abstract: A 42-year-old woman with a history of a large-loop excision of transformation zone for cervical intraepithelial neoplasia III four years previously visited our outpatient department for cervical intraepithelial neoplasia I that newly detected by colposcopy-directed punch biopsy. Her other medical conditions include systemic lupus erythematosus on daily prednisolone 15 mg during 19 years. After second large-loop excision of transformation zone, delayed vesicovaginal fistula was confirmed by indigo carmine leakage test, computed tomography scan, and cystoscopy. Fistula was primarily repaired with indwelling double-J catheters with anchoring omentum on suture site.
authors.affiliation: Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Kyung Eui
authors.initials: KE
authors.lastname: Park
authors.forename: Seung-Yup
authors.initials: SY
authors.lastname: Ku
authors.forename: Hee Seung
authors.initials: HS
authors.lastname: Kim
authors.forename: Cheol
authors.initials: C
authors.lastname: Kwak
authors.forename: Seok Hyun
authors.initials: SH
authors.lastname: Kim
authors.forename: Young Min
authors.initials: YM
authors.lastname: Choi
authors.forename: Jung Gu
authors.initials: JG
authors.lastname: Kim
authors.forename: Shin Yong
authors.initials: SY
authors.lastname: Moon
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000473:pathology / Q000601:surgery*; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000188:drug therapy; D011239:Prednisolone / Q000627:therapeutic use; D002583:Uterine Cervical Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D014719:Vesicovaginal Fistula / Q000209:etiology* / Q000473:pathology; D002578:Uterine Cervical Dysplasia / Q000150:complications / Q000473:pathology / Q000601:surgery*
chemical_list: D005938:Glucocorticoids; D011239:Prednisolone