Development of vesicovaginal fistula caused by vaginal adenosis: A case report

Tasuku Mariya, Takahiro Suzuki, Shutaro Habata, Motoki Matsuura, Miwa Suzuki, Ryoichi Tanaka, Tsuyoshi Saito

Department of Obstetrics and Gynecology, Sapporo Medical University, Sapporo, Japan.

DOI: 10.4236/ojog.2013.35079                

Abstract

Introduction: Vaginal adenosis is one of the rare diseases of the vagina, and almost all patients are asymptomatic. We report a case of spontaneous vaginal adenosis, which caused vesicovaginal fistula. Case Presentation: Our patient was a 25-year-old Japanese woman. She was admitted to our hospital, and her chief complaint was continuous urine flow from the vagina. We found a tumor with a vesicovaginal fistula in her vagina. Subsequent cytological analysis of vaginal smears showed a normal vaginal mucosa. The patient underwent tumor resection and a fistula patch. Pathological diagnosis was adenosis of the vagina, even though the patient had no known history of intrauterine diethylstilbestrol exposure or Müllerian developmental abnormalities. Conclusion: The clinical course of our case was a malignant tumor, which invasively bored a hole in the vaginal wall forming a vesicovaginal fistula, even though it was a benign lesion. Therefore, overzealous treatment should be avoided in this case.

Keywords

Vaginal Adenosis; Vesicovaginal Fistula; Surgical Repair; Urine Continence

Conflicts of Interest

The authors declare no conflicts of interest.

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