Development of vesicovaginal fistula caused by vaginal adenosis: A case reportReport as inadecuate




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Introduction:Vaginal adenosis is one of the rare diseases of the vagina, and almost allpatients are asymptomatic. We report a case of spontaneous vaginal adenosis,which caused vesicovaginal fistula. Case Presentation: Our patient was a25-year-old Japanese woman. She was admitted to our hospital, and her chiefcomplaint was continuous urine flow from the vagina. We found a tumor with avesicovaginal fistula in her vagina. Subsequent cytological analysis of vaginalsmears showed a normal vaginal mucosa. The patient underwent tumor resectionand a fistula patch. Pathological diagnosis was adenosis of the vagina, eventhough the patient had no known history of intrauterine diethylstilbestrolexposure or Müllerian developmental abnormalities. Conclusion: The clinicalcourse of our case was a malignant tumor, which invasively bored a hole in thevaginal wall forming a vesicovaginal fistula, even though it was a benign lesion.Therefore, overzealous treatment should be avoided in this case.

KEYWORDS

Vaginal Adenosis; Vesicovaginal Fistula; Surgical Repair; Urine Continence

Cite this paper

Mariya, T. , Suzuki, T. , Habata, S. , Matsuura, M. , Suzuki, M. , Tanaka, R. and Saito, T. 2013 Development of vesicovaginal fistula caused by vaginal adenosis: A case report. Open Journal of Obstetrics and Gynecology, 3, 435-437. doi: 10.4236-ojog.2013.35079.





Author: Tasuku Mariya, Takahiro Suzuki, Shutaro Habata, Motoki Matsuura, Miwa Suzuki, Ryoichi Tanaka, Tsuyoshi Saito

Source: http://www.scirp.org/



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