Mengistu Zelalem, Ayichew Zelalem
Department of Obstetrics and Gynecology, University of Gondar, Gondar, Ethiopia.
Int Med Case Rep J. 2022 Aug 22;15:437-441. doi: 10.2147/IMCRJ.S380716. eCollection 2022.
Vesicovaginal fistula (VVF) in developing countries is mainly associated with obstructed labor, iatrogenic injury during cesarean delivery, and hysterectomy. However, formation of VVF after foreign body insertion into the vagina is an extremely rare phenomenon. We report on an 18-year-old girl from rural northwest Ethiopia who presented with continuous leakage of urine for 2 months. She had inserted a plastic cap into her vagina 2 years prior for an unrevealed reason. A foreign body was found in her vagina, resulting in a large VVF. Removal of the foreign body was made under spinal anesthesia. She was catheterized for 14 days and the fistula closed spontaneously. Longstanding impaction of a foreign body in the vagina is associated with VVF formation. VVF resulting from a foreign body in young women could be closed with prolonged catheterization, even for large fistulas.
在发展中国家，膀胱阴道瘘（VVF）主要与产程梗阻、剖宫产术中的医源性损伤以及子宫切除术有关。然而，异物插入阴道后形成膀胱阴道瘘是一种极其罕见的现象。我们报告了一名来自埃塞俄比亚西北部农村的18岁女孩，她出现尿液持续漏出2个月。2年前，她出于不明原因将一个塑料瓶盖插入阴道。在她的阴道内发现了一个异物，导致了一个较大的膀胱阴道瘘。在脊髓麻醉下取出了异物。她留置导尿管14天，瘘口自行闭合。阴道内异物的长期嵌顿与膀胱阴道瘘的形成有关。即使是较大的瘘口，年轻女性因异物导致的膀胱阴道瘘通过延长导尿时间也可能闭合。
