Department of Radiology, School of Medicine, Ibb University of Medical Sciences, Ibb, Yemen.
Department of Radiology, Al-Maamoon Diagnostic Center, Sana´a, Yemen.
Pan Afr Med J. 2022 Sep 21;43:37. doi: 10.11604/pamj.2022.43.37.36668. eCollection 2022.
Urocolpos is a urine collection in the vagina, possibly due to vesicovaginal reflux (VVR) or a fistula. Urocolpos is a rare phenomenon in adults, and it is commonly underrecognized by radiologists. The occurrence of urocolpos due to VVR after a Caesarean section in adult females is a rare phenomenon; failure to recognize it may lead to misdiagnosis as vesicovaginal fistula and often leads to unnecessary medical interventions. We report a 37-year-old female who complained of abdominal pain and intermittent daytime urinary incontinence for six months, starting after a Caesarean section for her third baby. An abdominal computed tomography scan revealed a large fluid-filled vagina on a full bladder without anatomical abnormality. A post-voiding scan showed a complete resolution. In conclusion, urocolpos is an underrecognized entity that rarely coexists with VVR. Post-voiding resolution and vaginal contrast reflux are important findings that can aid radiologists in identifying such cases.
尿道阴道瘘是尿液在阴道内积聚，可能是由于膀胱阴道反流（VVR）或瘘管引起的。尿道阴道瘘在成人中较为罕见，且常被放射科医生所忽视。女性剖宫产术后 VVR 导致的尿道阴道瘘较为罕见；若未能识别，可能会误诊为膀胱阴道瘘，且往往导致不必要的医疗干预。我们报告了 1 例 37 岁女性，其在剖宫产后 3 个月出现腹痛和间歇性日间尿失禁，始于剖宫产术后 6 个月。腹部 CT 扫描显示充盈膀胱时阴道内有大量积液，但无解剖结构异常。排尿后扫描显示完全缓解。总之，尿道阴道瘘是一种被低估的实体，很少与 VVR 共存。排尿后缓解和阴道对比剂反流是重要的发现，可帮助放射科医生识别此类病例。
