Case Report
1 Tunis el Manar University, Beja Maternity Center, Tunis, Tunisia
Address correspondence to:
Montacer Hafsi
Medical Resident in Gynecology and Obstetrics,
Tunisia
Message to Corresponding Author
Article ID: 100034G06MH2024
Introduction: This study presents a compelling clinical case involving a 43-year-old woman who encountered a vesicovaginal fistula subsequent to vaginal delivery. The narrative encompasses the occurrence, diagnosis, and subsequent management of this rare postpartum complication.
Case Report: A 43-year-old woman with an unscarred uterus experienced the conventional signs of postpartum recovery but developed hematuria and vaginal urinary leakage on the seventh postpartum day. Clinical assessment confirmed a vesicovaginal fistula due to partial uterine dehiscence. Diagnostic procedures and the subsequent successful surgical intervention are detailed, followed by the postoperative surveillance strategy and a one-month post-surgery evaluation.
Conclusion: This case study demonstrates the successful management of a postpartum vesicovaginal fistula through surgical intervention, resulting in complete closure of the fistula and significant improvement in urinary symptoms. It highlights the importance of timely diagnosis and appropriate surgical intervention in managing such rare complications following vaginal delivery.
Keywords: Postoperative follow-up, Postpartum, Surgical repair, Unscarred uterus, Vaginal delivery, Vesicovaginal fistula
Montacer Hafsi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Marwa Moussi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Asma Zouagh - Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Souhir Najar - Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Faten Dridi - Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Smaoui Maroua - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mechaal Mourali - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Montacer Hafsi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.