Urethrovaginal fistula following vaginal prolapse of a pedunculated uterine myoma: a case report

Nkwabong, Elie; Fomulu, Joseph Nelson

doi:10.1186/s13256-017-1457-2

Cited by 3 publications

(4 citation statements)

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“…Other rare complications are vaginal prolapse with compression of the bladder neck or the urethra with resulting urinary retention, as in our case. Urethrovaginal fistula is possible; our patient developed it later [ 7 ]. Vaginal prolapse of a fibroid can also occur following uterine artery embolization for uterine fibroids [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

An intramural uterine fibroid became submucosal in the puerperium – proposed probable mechanism: a case report

Nkwabong

2018

J Med Case Reports

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BackgroundVaginal prolapse of a large uterine fibroid is a rare phenomenon in a woman who delivered vaginally recently, given that this fibroid might have obstructed labor. The author presents a case report of a vaginally prolapsed large pedunculated submucosal uterine myoma in a woman with a recent uncomplicated vaginal delivery.Case presentationA 25-year-old black African woman had four intramural uterine fibroids of diameters 62 to 94 mm diagnosed in April 2013 with standard ultrasound scan. She got pregnant in July 2014. An ultrasound scan done on 31 August 2014 at 10 weeks’ gestation identified four intramural uterine fibroids, with sizes varying from 70 to 150 mm. Her pregnancy was well followed up, without any complications. She had an uneventful vaginal delivery on 10 April 2015. During uterine exploration, indicated for retention of parts of fetal membranes, no pedunculated submucosal fibroid was found. On 15 May 2015, she consulted for difficult micturition and partial urinary retention that occurred 2 days ago. A vaginally prolapsed 10 cm uterine fibroid was diagnosed. Forty-eight hours after administration of intravenously administered broad spectrum antibiotics, the myoma was successfully twisted off by means of vaginal route under general anesthesia, which relieved her symptoms.ConclusionsTo the best of our knowledge, this is the first case of vaginally prolapsed large submucosal uterine fibroid in a woman who delivered vaginally recently. The author recommends that women with known large low situated uterine fibroid should be well observed during the postpartum period to diagnose a vaginally prolapsed uterine fibroid early, so as to prevent fibroid superinfection and obstructive complications.

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Section: Discussionmentioning

confidence: 99%

An intramural uterine fibroid became submucosal in the puerperium – proposed probable mechanism: a case report

Nkwabong

2018

J Med Case Reports

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“…Vaginal prolapse has been documented in cattle, goats, sheep, camels, dogs, cats, and women. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] To authors' knowledge, it has not been reported in mares. A mare had cervical hyperplasia and mass that led to vaginal protrusion.…”

Section: Discussionmentioning

confidence: 99%

“…4,6 Other factors include, excess perivaginal fat, prior perivaginal tissue injury, poor conformation, and incompetence of the constrictor vestibule or vulvae musculature. 4,6,8,9 Vaginal prolapse most commonly occurs in multiparous women among the ages of 40 -70. [7][8][9] In most species, it occurs during the last few weeks of pregnancy when intraabdominal pressure is maximum.…”

Section: Discussionmentioning

confidence: 99%

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Vaginal prolapse in an American Quarter Horse mare

Chisholm

Walters

Christiansen

et al. 2021

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A 15 year old, multiparous, American Quarter Horse mare in late pregnancy, was presented for a mass protruding from the vagina that was noticed 12 hours ago. Physical examination revealed a large, 25 x 12.5 x 12.5 cm, pink to red vaginal protrusion with moderate amounts of mucoid discharge. On transrectal palpation, it was evident that the mare was carrying a live fetus. Reminder of the physical examination was unremarkable. Vaginal prolapse was diagnosed that was manually reduced and an episioplasty procedure was performed. Mare was discharged with instructions to be monitored closely for 14 days and then re-evaluated, unless there were signs of impending parturition. Owner was instructed to seek immediate veterinary care if signs of parturition were noted. Foaling occurred without the knowledge of the owner, resulting in labial tear. Mare and a premature foal were presented at the hospital. Foal died during treatment. Mare was euthanized months later due to unrelated lameness. To authors’ knowledge, this is the first case report of a vaginal prolapse in a mare.

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Guided tour of hidden tracts in the pelvis: exploring pelvic fistulas

Chen

Ferraro

Chow

et al. 2021

Arch Gynecol Obstet

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Background Fistulas are an abnormal connection between two or more epithelial surfaces. When fistulization between adjacent structures occurs in the pelvis, there is almost invariably significant associated morbidity and impact on a patient’s quality of life. Imaging may aid in the diagnosis of pelvic fistulas and is essential to identify any associated pathology, define the course of the fistula, and aid in pre-surgical planning. Purpose This article aims to review the wide array of clinical and imaging presentations of fistulas in the pelvis, with a focus on the radiologists’ role in managing this challenging entity. Methods This article will review each classification type of fistula. Results Pelvic fistula is a devastating condition that causes significant morbidity and evaluation can be challenging. Conclusions Imaging, and particularly MRI, plays a vital role in the diagnosis, characterizing the course of a fistula and demonstrating associated complications, which are essential to guide treatment decisions.

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Urethrovaginal fistula following vaginal prolapse of a pedunculated uterine myoma: a case report

Cited by 3 publications

References 3 publications

An intramural uterine fibroid became submucosal in the puerperium – proposed probable mechanism: a case report

An intramural uterine fibroid became submucosal in the puerperium – proposed probable mechanism: a case report

Vaginal prolapse in an American Quarter Horse mare

Guided tour of hidden tracts in the pelvis: exploring pelvic fistulas

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