Vesicovulvar fistula after pelvic injury: a case report

Introduction. Genitourinary fistulas remain to be a serious problem of urogynecology with a great medical and social importance. Pelvic fractures are often combined with genitourinary system injuries. In the literature there are single cases describing the urethro-vaginal and vesico-vaginal fistulas formation after the pelvic fractures. The clinical case. This article presents a clinical case of a vesico-vulvar fistula in a 34-year-old female patient, formed after a pelvic fracture. Discussion. A fibrocystoscope use can improve the diagnosis of fistulas, that located on the anterior wall of the bladder. The use of CT fistulography allows to perform three-dimensional reconstruction of the pelvis and fistula tract, assessing its relation to the pelvic bones and detecting free-lying bone fragments. Conclusions. Traumatologists and surgeons providing emergency care to patients with pelvic fractures should be aware of routine urological and gynecological examinations. Knowledge of the urinary leaks spread topography in case of extraperitoneal bladder ruptures combined with the use of radial and endoscopic research methods allows to determine the topography of the fistula tract and choose the correct treatment tactics.