Vesicovaginal fistula following an induced abortion with a huge bladder stone: case report

Abstract

A case of a 26 year old P +1 woman who developed vesico-vaginal fistula (VVF) following an induced 1 abortion is presented. She presented with five year history of continous leakage of urine following a voluntary termination of pregnancy at about 11 weeks of gestation using metallic instruments in a chemist shop by a Nurse. When she was examined, she had a suprapubic mass of about 14 weeks size, tender and mobile. Pelvic examination revealed a 1.5 x 2.0cm juxta cervical fistula with healthy looking cervix. Abdominopelvic ultrasound scan showed a huge bladder stone that measured 10 x 15cm. She had cystolithotomy and fistula repair transvaginally and was discharged home after 21 days of admission.

Keywords: Vesico-vaginal fistula, induced abortion, bladder stone

Jos Journal of Medicine, Volume 7 No. 2