International Medical Case Reports Journal (Apr 2022)
Tear of Vaginal Lobular Capillary During Micturition Resulting in Vesicovaginal Fistula: A Case Report
Abstract
Raha Maroyi,1,2 Ajay Rane,3 Lynsey Hayward,4 Chasinga Baharanyi,2,5 Bwihangane Birindwa Ahadi,2 Denis Mukwege1,2 1Department of Obstetrics and Gynecology, Panzi General Referral Hospital, Bukavu, The Democratic Republic of Congo; 2Université Evangélique en Afrique (UEA), Bukavu, The Democratic Republic of Congo; 3Department of Obstetrics and Gynaecology, James Cook University, Townsville, QLD, Australia; 4Department of Urogynaecology, Middlemore Hospital, Auckland, New Zealand; 5Department of Pathology, Panzi General Referral Hospital, Bukavu, The Democratic Republic of CongoCorrespondence: Raha Maroyi, Université Evangélique en Afrique (UEA), P.O. Box 3323, Bukavu, The Democratic Republic of Congo, Tel +243997254812, Email [email protected]: We report an unusual case of female genital fistula secondary to a lobular capillary hemangioma. A 35-year-old Congolese woman presented with urinary incontinence associated with a vaginal “tearing” sensation during micturition. A suburethral vascular bud and vesico-vaginal fistula were observed on examination. Over 2 weeks, the fistula enlarged to involve the trigone and bladder neck, resulting in a semi-circumferential urethro-vesico-vaginal fistula. Histology revealed a lobular capillary hemangioma. During fistula repair, the edges with vascular clusters were freshened, the genital fistula was closed and the woman became continent of urine.Keywords: vesico-vaginal fistula, female genital fistula, lobular capillary hemangioma, etiology, surgical procedure
