Ureterovaginal fistula: A complication of a vaginal foreign body

Abstract

Ureterovaginal fistula following neglected vaginal foreign body is a serious condition. Early diagnosis, treatment of infection and proper surgical management can improve the outcome and decrease complications.

Occurrence of multiple fistulas decades after ingestion and neglect of numerous thermometers: a case report

“…Ingestion of thermometers is even rarer and according to our knowledge only described in cases with mediastinal or oropharyngeal penetration [ 4 , 6 ]. Fistulas caused by foreign bodies usually affect the upper aerodigestive tract or the genitourinary system, whereas gastrointestinal fistulas are extremely rare [ 5 , 7 ]. Ingestion of foreign bodies years or decades ago can lead to the development of fistulas [ 4 , 8 ].…”

Austere Foreign Body Injuries in Children and Adolescents

“…Austere FBs can be difficult to identify and have the potential to cause serious consequences including infection, chronic structural damage, or even death. 6,7 A variety of objects appear to predominate AFB injuries in the current literature. For example, vaginal foreign bodies (VFBs) tend to involve cloth, tissues, or small hard objects 8 ; rectal foreign bodies (RFBs) vary widely, with documented cases involving bottle edges, vegetables, or lightbulbs.…”

“…11 Among the myriad of complications for AFBs, VFBs can cause localized inflammatory changes leading to fistula formation, pelvic inflammatory disease, and infertility. 7,[13][14][15] By comparison, RFBs can cause to bleeding, abscess formation, or perforation culminating in sepsis or death. 6,9,16 Penile FBs can cause an erosion-constriction injury, which can lead to gangrene and amputation.…”

“…A comprehensive epidemiologic profile cataloguing austere foreign body (AFB) (rectum, vagina, and penis) injuries eludes the current literature. Austere FBs can be difficult to identify and have the potential to cause serious consequences including infection, chronic structural damage, or even death 6,7 …”

“…From a diagnostic perspective, vaginoscopy has shown specificity for detection (n = 31, 86%) of VFBs 8 ; bedside extraction has demonstrated superiority in detection and management of RFBs (n = 58, 62%) 12 ; and, finally, manual or endoscopic extraction have shown efficacy for PFBs 11 . Among the myriad of complications for AFBs, VFBs can cause localized inflammatory changes leading to fistula formation, pelvic inflammatory disease, and infertility 7,13–15 . By comparison, RFBs can cause to bleeding, abscess formation, or perforation culminating in sepsis or death 6,9,16 .…”