title: Case report: diagnosis and management of peritoneovaginal fistula.
abstract: Fallopian tube vaginal fistula, a form of peritoneovaginal fistula, is an uncommon cause of persistent vaginal leakage after hysterectomy. Fallopian tube vaginal fistula resulting in peritoneal leakage has been reported in conjunction with a prolapsed fimbria. Herein is presented a case of fallopian tube vaginal fistula without a visibly prolapsed tubal fimbria. The patient was a 43-year-old woman with a 6-year history of cyclic vaginal leakage with onset shortly after vaginal hysterectomy. Examination using a vaginal speculum revealed a clear vaginal fluid but no distinct lesion or mass in the vagina, and bimanual examination did not reveal a vesicovaginal or ureterovaginal fistula. Laparoscopic surgical exploration revealed a densely adherent fallopian tube attached to the vaginal cuff, forming a fallopian tube vaginal fistula.
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, The Christ Hospital, Cincinnati, Ohio. Electronic address: Yarini.Quezada@thechristhospital.com.
authors.forename: Yarini
authors.initials: Y
authors.lastname: Quezada
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, The Christ Hospital, Cincinnati, Ohio.
authors.forename: Mickey
authors.initials: M
authors.lastname: Karram
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, The Christ Hospital, Cincinnati, Ohio.
authors.forename: James L
authors.initials: JL
authors.lastname: Whiteside
mesh_terms: D000328:Adult; D005184:Fallopian Tube Diseases / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D010535:Laparoscopy; D010532:Peritoneal Diseases / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D014624:Vaginal Fistula / Q000175:diagnosis / Q000601:surgery*
keywords: Fallopian tube; Fistula; Peritoneal; Prolapse