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KMID : 1201620090020020092
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Journal of Women s Medicine
2009 Volume.2 No. 2 p.92 ~ p.94
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Vesicocutaneous fistula: An unusual complication of total hysterectomy
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Lee Tae-Hwa
Jung Jee-Young
Kim Sung-Han
Lee Chun-June
Oh Jee-Young
Kim Mi-Hyang
Oh Young-Lim
Kim Heong-Yeol
Kim Won-Gue
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Abstract
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A 37-year-old woman was referred to our department for evaluation of a large uterine mass and menorrhagia with cyclic pain. She underwent a total hysterectomy because of a previous cesarean delivery. Subcutaneous edema, resembling a hematoma, was noted after removing the Foley catheter on postoperative day 1. With the differential diagnosis including a hematoma, we obtained a computed tomography scan, which revealed edema associated with a subcutaneous fistula originating from the bladder wall. Intravenous indigo carmine injection resulted in a change of color in the subcutaneous area, which confirmed that there was a fistula. We report a case of a vesicocutaneous fistula at the site of a total hysterectomy with a brief review of literature.
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KEYWORD
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Vesicocutaneous fistula, Total hysterectomy
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