CT Demonstration of Fistulae in Patients with Gynecologic Neoplasms

Abstract

Ten women treated for gynecologic neoplasms (8 cervical carcinomas, one vaginal and one endometrial carcinoma) were found at computed tomography (CT) to have a fistula although only 5 patients had symptoms that could be related to a fistula. Five women had vesico-vaginal fistulae, 2 recto-vaginal, 2 entero-cervical and one a vulvo-pubical fistula. Three patients had recurrent malignancy at the CT examination. We regard CT as the ragiologic method of choice in diagnosing gynecologic fistulae.

A New MDCT Technique for the Detection and Anatomical Exploration of Urogenital Fistulas

“…Traditionally, urogenital fistulas were explored by excretory urography or retrograde cystography [4,5]. With the evolution of CT and the emerging utilization of MDCT in everyday clinical practice, it has been found that MDCT is a more sensitive and specific technique in the detection and precise anatomic delineation of these rare pathologic abnormalities compared with conventional radiology modalities [6,7]. Moving one step forward, we initiated a new protocol combining CT cystography and intravaginal neutral contrast agent.…”

The use of magnetic resonance imaging in the assessment of malignant vaginal fistulas

“…Beyond this clinical impression, imaging has been used to define the fistula and assess the state of underlying disease. Frequently, several imaging modalities are required including contrast studies (barium enemas, small bowel series, intravenous pyelography, cystogram and vaginography) ( 3 ) and CT scanning ( 4 , 5 ) .…”