EP34.05: Multiple intravaginal calcifications in a patient with traumatic vaginal obstruction combined with urethrovaginal fistula

• DOI: 10.1002/uog.27250
• Publication Date: 2023-10-02T07:03:21Z
• Authors: H. Choi; S. Lee; S. Song; J. Kim; S. Kim; H. Chae
• Keywords: Vaginal fistula; Vaginal bleeding

The objective of this report is to address unusual image finding multiple intravaginal calcifications caused by retained menstrual bleeding due vaginal obstruction. A 23-year-old girl was referred our hospital with abnormal uterine and dysmenorrhea since menarche. patient had a history laceration undergone primary repair at the age 8. Blind pouch without normal cervix seen in speculum examination. Old bloody, pus-like discharge leaked out from two microperforations. Ultrasonography (USG) revealed uterus, but were observed within wall. Another case 21-year-old who traffic accident 4. She gone through urethroplasty been followed up for urethrovaginal fistula ever since. Prior menarche, MRI showed no findings except known fistula. However, complained hematuria pelvic pain MRI. (figure 1A). Vaginoplasty done both cases. For first case, transverse incision made blind end vagina. 1cm-sized nodules found right Hysteroscopy vagina cavity intact indistinguishable external cervical OS adhesion. On her 8th month follow-up, she regular menstruation any related symptoms USG normal. second underwent postvaginal approach laparoscopic surgery. More than 20 stones removed there an attempt close During 15 months still fistula, imaging tests more calcifications. Please note: publisher not responsible content or functionality supporting information supplied authors. Any queries (other missing content) should be directed corresponding author article.