Quezada Yarini, Karram Mickey, Whiteside James L
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, The Christ Hospital, Cincinnati, Ohio.
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, The Christ Hospital, Cincinnati, Ohio.
J Minim Invasive Gynecol. 2015 Jan;22(1):134-6. doi: 10.1016/j.jmig.2014.06.001. Epub 2014 Jun 6.
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.
输卵管阴道瘘是腹膜阴道瘘的一种形式，是子宫切除术后持续性阴道漏液的罕见原因。已有报道输卵管阴道瘘导致腹膜漏液与输卵管伞脱垂有关。本文介绍了一例无明显输卵管伞脱垂的输卵管阴道瘘病例。患者为43岁女性，阴道子宫切除术后不久出现周期性阴道漏液6年。阴道窥器检查显示阴道有清亮液体，但阴道内未发现明显病变或肿物，双合诊未发现膀胱阴道瘘或输尿管阴道瘘。腹腔镜手术探查发现一条紧密粘连于阴道断端的输卵管，形成输卵管阴道瘘。
