Vesicocervical fistula: rare complication secondary to intrauterine device (Lippes loop) erosion

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...

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Bibliographic Details
Published in:International Urogynecology Journal 2015-06, Vol.26 (6), p.927-929
Main Authors: Magudapathi, Chandrakala, Manickam, Ramalingam, Thangavelu, Kavitha
Format: Article
Language:English
Subjects:
Aged
Case Report
Cystoscopy
Female
Fistula - etiology
Foreign Bodies - diagnostic imaging
Gynecology
Humans
Intrauterine Devices - adverse effects
Magnetic Resonance Imaging
Medicine
Medicine & Public Health
Time Factors
Ultrasonography
Urinary Bladder Fistula - etiology
Urinary Bladder Fistula - surgery
Urology
Uterine Cervical Diseases - etiology
Uterus
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Description
Summary: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.
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-015-2667-z