Magudapathi Chandrakala, Manickam Ramalingam, Thangavelu Kavitha
Department of Obstetrics and Gynaecology, G. Kuppuswamy Naidu Memorial Hospital, Nethaji Road, Coimbatore, 641037, India,
Int Urogynecol J. 2015 Jun;26(6):927-9. doi: 10.1007/s00192-015-2667-z. Epub 2015 Mar 11.
We report a case of vesicocervical fistula following intrauterine device (Lippes loop) erosion following insertion 45 years ago. Vesicocervical fistula was suspected clinically. Ultrasound and magnetic resonance imaging confirmed the presence of a foreign body. Biopsy and magnetic resonance imaging were performed to rule out malignancies of the urogenital tract. The fistula was managed by laparotomy, hysterectomy, and bladder flap closure. We report this case because of its rarity.
我们报告一例45年前放置宫内节育器（Lippes环）后发生侵蚀导致膀胱宫颈瘘的病例。临床怀疑为膀胱宫颈瘘。超声和磁共振成像证实存在异物。进行活检和磁共振成像以排除泌尿生殖道恶性肿瘤。通过剖腹手术、子宫切除术和膀胱瓣关闭术治疗该瘘管。由于该病例罕见，我们特此报告。
