Case Report: Diagnosis and Management of Peritoneovaginal Fistula

Quezada, Yarini; Karram, Mickey M.; Whiteside, James L.

doi:10.1016/j.jmig.2014.06.001

Cited by 4 publications

(3 citation statements)

References 16 publications

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“…Fallopian tube prolapse and peritoneovaginal fistula have multiple potential causes. Predisposing variables may include malnutrition, post-radiation treatment, cancer, poorly managed diabetes mellitus, poor wound healing brought on by prolonged steroids, and others [ 5 ]. Postoperative hematoma, infection, insufficient preoperative vaginal preparation, challenging surgery, and elevated intraabdominal pressure are additional risk factors [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Predisposing variables may include malnutrition, post-radiation treatment, cancer, poorly managed diabetes mellitus, poor wound healing brought on by prolonged steroids, and others [ 5 ]. Postoperative hematoma, infection, insufficient preoperative vaginal preparation, challenging surgery, and elevated intraabdominal pressure are additional risk factors [ 5 ]. Early prolapses are frequently brought on by intense physical activity or early sexual engagement, which weakens the vaginal vault scar as could be a potential cause in presented age group patients [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

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An Unusual Case of Peritoneovaginal Fistula With Fimbrial Prolapse in a Post-hysterectomy Woman

Halder,

Gautam,

Dhubey

et al. 2023

Cureus

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A fairly uncommon differential diagnosis for chronic vaginal discharge and sexual dysfunction in post-hysterectomy women is peritoneo-vaginal fistula. It can present with or without fimbrial end prolapse. It is also a rare differential of genito urinary fistula due to its comparable presentation in post-hysterectomy women. Patients' morbidity and a number of unneeded conservative treatments, including the use of antibiotics and superfluous tests, can be brought on by surgeons' uncertainties related to its diagnosis. Prophylactic salpingectomy and proper surgical technique are essential for avoiding these problems as summarised from previous literature. Hereby, we are presenting a case of a 30-year-old woman who underwent abdominal hysterectomy and has been complaining of persistent watery vaginal discharge for a year after the procedure. As genito-urinary fistula is a common relative differential of the presenting case scenario, hence workup was done to rule it out but there were no noteworthy discoveries found from the workup. Due to the diagnostic conundrum, we scheduled the patient for a diagnostic laparoscopy that was followed by the detection of the peritoneo-vaginal fistulous tract with prolapsed fimbrial end, repair of tract followed by bilateral salpingectomy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Peritoneovaginal Fistula With Fimbrial Prolapse in a Post-hysterectomy Woman

Halder,

Gautam,

Dhubey

et al. 2023

Cureus

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“…4 The fallopian tube unlike other abdominal viscera is sensitive to touch, cutting and crushing. 5 Dense adhesions may involve the structures like ovary, bladder and bowel causing most authors to have performed partial salpingectomies, though total salpingectomy is preferred, due to the constant traction on the remaining part of the tube and hence agonising symptoms. 6…”

Section: Introductionmentioning

confidence: 99%

Post hysterectomy fallopian tube prolapse: a rare case

Priya¹,

Sarojamma²,

Sailakshmi³

2019

Int J Reprod Contracept Obstet Gynecol

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Fallopian tube prolapse into the vaginal vault is a very complication of hysterectomy where the adnexa is preserved. The overall occurrence after all routes of hysterectomy is 0.01-0.05%. Several factors have been suggested to contribute to the condition such as vault hematoma, improper closure of vault, early resumption of sexual activity. Due to the misdiagnosis, there is often delay in the diagnosis and its management. The only means of definitive diagnosis is histopathology. A 30-year-old P2l2 presented to us after 3 years of post-hysterectomy with abdominal pain and bleeding pv on and off. On examination prolapsed fallopian tube was found in the vaginal vault on speculum. Biopsy was done in the outside hospital and was confirmed to be the tube. Patient underwent combined laparoscopic and vaginal method. Vaginal excision of the tube was done. Prevention by prophylactic salpingectomy and by suturing the adnexa high up in the pelvis in abdominal hysterectomy.

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