Share This Article:

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

Abstract Full-Text HTML XML Download Download as PDF (Size:326KB) PP. 435-437
DOI: 10.4236/ojog.2013.35079    3,375 Downloads   4,742 Views   Citations

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.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Mariya, T. , Suzuki, T. , Habata, S. , Matsuura, M. , Suzuki, M. , Tanaka, R. and Saito, T. (2013) Development of vesicovaginal fistula caused by vaginal adenosis: A case report. Open Journal of Obstetrics and Gynecology, 3, 435-437. doi: 10.4236/ojog.2013.35079.

References

[1] Narayanan, P., Nobbenhuis, M., Reynolds, K.M., Sahdev, A., Reznek, R.H. and Rockall, A.G. (2009) Fistulas in malignant gynecologic disease: Etiology, imaging, and management. RadioGraphics, 29, 1073-1083. doi:10.1148/rg.294085223
[2] Kranl, C., Zelger, B., Kofler, H., Heim, K., Sepp, N. and Fritsch, P. (1998) Vulvar and vaginal adenosis. British Journal of Dermatology, 139, 128-131. doi:10.1046/j.1365-2133.1998.02329.x
[3] Uehara, T., Onda, T., Sasajima, Y., Sawada, M. and Kasamatsu, T. (2010) A case of vaginal clear cell adenocarcinoma complicated with congenital anomalies of the genitourinary tract and metanephric remnant without prenatal diethylstilbestrol exposure. Journal of Obstetrics and Gynaecology Research, 36, 681-685.
[4] Talia, K.L., Scurry, J., Manolitsas, T. and McCluggage, W.G. (2012) Primary vaginal mucinous adenocarcinoma of gastric type arising in adenosis: A report of 2 cases, 1 associated with uterus didelphys. International Journal of Gynecological Pathology, 31, 184-191. doi:10.1097/PGP.0b013 e31822c8036
[5] Stafl, A., Mattingly, R.F., Foley, D.V. and Fetherston, W.C. (1974) Clinical diagnosis of vaginal adenosis. Obstetrics and Gynecology, 43, 118-128.

  
comments powered by Disqus

Copyright © 2019 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.