Radiology Case Reports (Apr 2023)

Vesicovaginal reflux presenting as transient urocolpos—A diagnostic dilemma

  • Sumitra Reddy, DMRD, DNB, FRCR,
  • Abeer Saad, MD,
  • Manjit Mohan, MD,
  • Jiah Mulla, MD

Journal volume & issue
Vol. 18, no. 4
pp. 1637 – 1640

Abstract

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Urocolpos refers to urinary distension of the vagina; it commonly results from vesicovaginal fistula or reflux. In this case report, we present the clinical and radiological aspects of an 18-year-old female presenting with no significant urinary complaints, but with imaging findings of hydrocolpos. This would disappear after voiding. Vesicovaginal reflux resulting in urocolpos is a rarely diagnosed condition, and the radiologist may be mystified by the intermittent nature of the findings. We emphasize the importance of recognizing the entity before proposing surgical treatment.

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