Case Report


Vesicovaginal fistula post-vaginal delivery late revelation: A case report

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1 Tunis el Manar University, Beja Maternity Center, Tunis, Tunisia

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Montacer Hafsi

Medical Resident in Gynecology and Obstetrics,

Tunisia

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Article ID: 100034G06MH2024

doi: 10.5348/100034G06MH2024CR

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How to cite this article

Hafsi M, Moussi M, Zouaghi A, Najar S, Dridi F, Maroua S, Mourali M. Vesicovaginal fistula postvaginal delivery late revelation: A case report. Edorium J Gynecol Obstet 2024;9(1):1–4.

ABSTRACT


Introduction: This study presents a compelling clinical case involving a 43-year-old woman who encountered a vesicovaginal fistula subsequent to vaginal delivery. The narrative encompasses the occurrence, diagnosis, and subsequent management of this rare postpartum complication.

Case Report: A 43-year-old woman with an unscarred uterus experienced the conventional signs of postpartum recovery but developed hematuria and vaginal urinary leakage on the seventh postpartum day. Clinical assessment confirmed a vesicovaginal fistula due to partial uterine dehiscence. Diagnostic procedures and the subsequent successful surgical intervention are detailed, followed by the postoperative surveillance strategy and a one-month post-surgery evaluation.

Conclusion: This case study demonstrates the successful management of a postpartum vesicovaginal fistula through surgical intervention, resulting in complete closure of the fistula and significant improvement in urinary symptoms. It highlights the importance of timely diagnosis and appropriate surgical intervention in managing such rare complications following vaginal delivery.

Keywords: Postoperative follow-up, Postpartum, Surgical repair, Unscarred uterus, Vaginal delivery, Vesicovaginal fistula

SUPPORTING INFORMATION


Author Contributions

Montacer Hafsi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Marwa Moussi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Asma Zouagh - Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Souhir Najar - Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Faten Dridi - Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Smaoui Maroua - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Mechaal Mourali - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2024 Montacer Hafsi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.