case_images: PMC10065752_01
case_images: Panel of computed tomography with contrast images showing percutaneous fistula with leakage to labial folds on last image.
case_images: LS-JSLS230004F002.jpg
case_images: PMC10065752_01_LS-JSLS230004F002.jpg
case_images: F1
case_images: One day before surgery, a 6-degree locking loop drain was crossed percutaneously into the fistula and into the vagina for localization of vaginal end of the fistula (Figure 1, 2).
case_images: Computed tomography and fluoroscopic fistulogram with contrast dye (left) and drains (right) passed percutaneously from gluteal abscess (white arrow) to vagina (yellow arrow).
case_images: LS-JSLS230004F001.jpg
case_images: PMC10065752_01_LS-JSLS230004F001.jpg
case_images: F2
case_images: One day before surgery, a 6-degree locking loop drain was crossed percutaneously into the fistula and into the vagina for localization of vaginal end of the fistula (Figure 1, 2).
case_images: Intraoperative transvaginal view of bilateral ureteral stents and computed tomography-guided percutaneous vaginal catheter.
case_images: LS-JSLS230004F003.jpg
case_images: PMC10065752_01_LS-JSLS230004F003.jpg
case_images: F3
case_images: Subsequently, a vaginal incision was created around the vaginal tract of the fistula guided by the percutaneous vaginal catheter (Figure 3).
case_images: Two sutures removed with ruler for size comparison.
case_images: LS-JSLS230004F004.jpg
case_images: PMC10065752_01_LS-JSLS230004F004.jpg
case_images: F4
case_images: The sutures were white in color and appeared similar to Mersilene material (Figure 4).
case_images: Gluteal cutaneous vaginal fistula at postoperative visit.
case_images: LS-JSLS230004F005.jpg
case_images: PMC10065752_01_LS-JSLS230004F005.jpg
case_images: F5
case_images: At six-week follow-up, the cutaneous fistula was well-healed with no drainage noted (Figure 5).