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Unusual presentation of more common disease/injury
CASE REPORT
Post-traumatic bony impingement into vagina: a rare cause of urethrovaginal fistula
  1. Ajay Aggarwal,
  2. Siddharth Pandey,
  3. Vishwajeet Singh,
  4. Rahul Janak Sinha
  1. Department of Urology, King George’s Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Ajay Aggarwal, drajayaggarwal2004{at}gmail.com

Summary

A 22-year-old woman met with road traffic accident 6 months back following which she underwent exploratory laparotomy with intraperitoneal bladder rupture repair. She presented with urethrovaginal fistula due to a fragment of fractured pubic bone impinging into the anterior vaginal wall. The findings were confirmed on CT scan and cystoscopy. The patient was managed with removal of the bony spicule and transvaginal repair of urethrovaginal fistula with Martius fat pad interposition.

  • trauma
  • accidents, injuries
  • urological surgery

https://doi.org/10.1136/bcr-2018-226004

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    Footnotes

    • Contributors AA and SP: concept, design, supervision, processing, writing manuscript and critical analysis. VS: supervision, processing, writing manuscript and critical analysis. RJS: concept, supervision, writing manuscript and critical analysis.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.