Giant dumb-bell calculus complicating vesico-vaginal fistula - a case report

A 34 year old, para 1(+0) woman was seen in February 2009. Her only confinement was 4 years earlier and was complicated by vesicovaginal fistula (VVF) due to prolonged obstructed labour. She had had 2 failed repairs of the VVF before presentation. About a month before the presentation, she started e...

Full description

Saved in:
Bibliographic Details
Published in:Journal of the West African College of Surgeons 2011-07, Vol.1 (3), p.91-97
Main Authors: Nnabugwu, Ii, Osakue, E
Format: Article
Language:English
Subjects:
Case Studies and Case Reports
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 34 year old, para 1(+0) woman was seen in February 2009. Her only confinement was 4 years earlier and was complicated by vesicovaginal fistula (VVF) due to prolonged obstructed labour. She had had 2 failed repairs of the VVF before presentation. About a month before the presentation, she started experiencing increasing perineal and suprapubic pain and the sensation of bearing down. A calculus was readily felt per vaginam and further evaluation revealed its extension into the urinary bladder incorporating nylon suture and vaginal tissues. The calculus was successfully excised by a combination of suprapubic and vaginal approaches. Public enlightenment should emphasize that the first attempt at VVF repair by an experienced surgeon in a proper surgical setting is the best chance for a successful outcome.
ISSN:2276-6944