1/11. Hip-vagina fistula after acetabular revision.A case of a fistula between the hip and the vagina in a 46-year-old woman after acetabular revision for a failed total hip arthroplasty (THA) is presented. This patient had undergone multiple revision procedures complicated by infection after a primary THA failed because of chronic recurrent dislocation. The patient 18 months after reconstruction of a pelvic discontinuity using an antiprotrusio cage. The chief complaint was weight-bearing groin pain and persistent atypical vaginal discharge. Plain radiographs showed a fracture of the antiprotrusio cage with medial and superior migration of the acetabular cage into the pelvis. An arthrogram showed a fistula between the hip joint and the vagina. To our knowledge, a hip-vaginal fistula has not been reported previously as a complication of THA.- - - - - - - - - - ranking = 1keywords = vaginal discharge, discharge (Clic here for more details about this article) |
2/11. Late sequelae of hysterectomy and diverticulosis: colovaginal fistulae.Three cases of colovaginal fistulae were recently diagnosed and treated. Colovaginal fistulae are not commonly reported and their diagnosis may be difficult to make. Our cases presented with a complaint of vaginal discharge, history of hysterectomy, and diagnosis of diverticulosis. The diagnosis and treatment of colovaginal fistulae are discussed.- - - - - - - - - - ranking = 1keywords = vaginal discharge, discharge (Clic here for more details about this article) |
3/11. Entero mesh vaginal fistula secondary to abdominal sacral colpopexy.BACKGROUND: Abdominal sacral colpopexy is a popular method for resupporting the vaginal apex. Bleeding and infection are the most common complications. We report a complication resulting in a small bowel fistula. CASE: A 48-year-old woman developed a chronic vaginal discharge 4-6 months after routine abdominal sacral colpopexy in which a velour mesh remained exposed in the pelvis. Conservative measures failed to control the intermittent copious discharge from the upper vaginal vault where the mesh was visualized. At laparotomy, an entero mesh vaginal fistula was discovered. Excellent long-term results were obtained by removal of the mesh along with resection of the involved small intestine. CONCLUSION: At the time of abdominal sacral colpopexy, we recommend that mesh not remain exposed in the pelvis.- - - - - - - - - - ranking = 1.001140405379keywords = vaginal discharge, discharge (Clic here for more details about this article) |
4/11. Transvaginal sonographic diagnosis of a tumor fistula.We report on two cases of advanced pelvic cancer in women who presented with profuse vaginal watery discharge. In both cases, transvaginal ultrasound revealed a fistulous tract connecting the tumor to the apex of the vaginal vault. The differential diagnoses and a review of the literature are discussed.- - - - - - - - - - ranking = 0.0011404053790409keywords = discharge (Clic here for more details about this article) |
5/11. Chronic wuchereriasis presenting as a vaginoperineal fistula: report of a case with aspiration cytologic diagnosis.BACKGROUND: filariasis is often an occult disease with myriad presentations. Cytology has an established role in diagnosing clinically unsuspected cases. CASE: A 20-year-old female presented with recurring perineal ulcers, vaginal discharge and inguinal lymphadenopathy. radiology revealed a vaginoperineal fistula. Fine needle aspiration (FNA) of the ulcer bed and smears prepared from the ulcer discharge showed an adult, gravid, female filarial worm and unsheathed larvae. Similar microfilariae were also seen in FNA smears from inguinal lymph nodes. The atypical clinical presentation and unusual parasite morphology posed initial difficulties in characterization of the microfilarial species. CONCLUSION: This case report highlights the morphologic clues to the dif ferential diagnosis offilarial species on cytologic specimens. Chronic wuchereriasis presenting as a vaginoperineal fistula has not been reported previously.- - - - - - - - - - ranking = 1.001140405379keywords = vaginal discharge, discharge (Clic here for more details about this article) |
6/11. A complex ileovaginal fistula with associated obstructive uropathy in a patient with Crohn's disease: technical considerations and review of the literature.A high index of suspicion of an ileogenital fistula should be aroused by a patient with Crohn's disease, weight loss, malnutrition, and a persistent vaginal discharge. Preoperative gastrointestinal and genitourinary evaluation should be used in an attempt to localize the fistulous origin as well as concomitant fistulae. The principles of surgical therapy include preoperative ureteral catheters, resection of the diseased bowel and fistulous segment of bowel, and interposition of healthy tissue (ie, omentum) between the bowel anastomosis and the vaginal cuff.- - - - - - - - - - ranking = 1keywords = vaginal discharge, discharge (Clic here for more details about this article) |
7/11. Combined vesicovaginal-ureterovaginal fistulas associated with a vaginal foreign body.A case is presented of vesicovaginal-ureterovaginal fistulas associated with a neglected vaginal foreign body. The patient complained of a foul-smelling vaginal discharge and was found to have a 4-cm hard vaginal mass on examination. Urinary incontinence developed subsequently. Examination under anesthesia was performed, and an aerosol deodorant cap was operatively removed from her posterior vagina/perirectal space. Subsequent work-up demonstrated the presence of both a vesicovaginal fistula and a right ureterovaginal fistula. The patient underwent a combined vaginal repair of the vesicovaginal fistula and abdominal ureteroneocystostomy. The frequency, types, etiology, and treatment of genitourinary fistulas are reviewed with particular attention to those associated with a vaginal foreign body.- - - - - - - - - - ranking = 1keywords = vaginal discharge, discharge (Clic here for more details about this article) |
8/11. Unilateral renal agenesis associated with vaginal or cervical fistula and anomalous uterine development.Two patients with unexplained profuse vaginal discharge were noted to have anomalous uterine development associated with renal agenesis. Fistulous communication between a mesonephric duct remnant and the vagina or cervix was noted as the cause of the discharge. A previous report by one of the authors described two similar cases. physicians should be alert to this syndrome as a cause of leukorrhea.- - - - - - - - - - ranking = 1.001140405379keywords = vaginal discharge, discharge (Clic here for more details about this article) |
9/11. Lymphatic vaginal fistula after Wertheim-Taussig hysterectomy: a case report.Significant vaginal discharge of clear fluid after Wertheim-Taussig hysterectomy with bilateral salpingo-oophorectomy is most often due to urinary fistula. Rarely, the same symptom may be caused by lymphatic fistula, which has not been reported previously. The differentiation between lymph and urine is simple. If this rare complication is not suspected, patients may undergo unnecessary invasive diagnostic procedures of the urinary tract.- - - - - - - - - - ranking = 1keywords = vaginal discharge, discharge (Clic here for more details about this article) |
10/11. Colovaginal fistula secondary to diverticular disease. A report of two cases.Two cases of diverticular abscess presented with abdominal pain, pelvic mass and vaginal discharge. Both patients had previously undergone hysterectomy. Although relatively rare, colovaginal fistula secondary to diverticular disease should be considered in the differential diagnosis in an elderly woman with similar symptoms.- - - - - - - - - - ranking = 1keywords = vaginal discharge, discharge (Clic here for more details about this article) |
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