case_images: PMC9057226_01
case_images: Suburethral haematoma above the vesico-vaginal fistula.
case_images: IMCRJ-15-225-g0001.jpg
case_images: PMC9057226_01_IMCRJ-15-225-g0001.jpg
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case_images: There was a suburethral haematoma above a 2 cm vesico-vaginal fistula (Figure 1).
case_images: (A) Disappearance of the sub urethral haematoma. (B) Semi-circumferential vesico-urethrovaginal fistula.
case_images: IMCRJ-15-225-g0002.jpg
case_images: PMC9057226_01_IMCRJ-15-225-g0002.jpg
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case_images: After two weeks of conservative measures, the edges of the fistula became clean and rosy, delineating a semi-circumferential fistula involving a portion of the trigone, the bladder neck and the urethra (Figure 2). The urethral length was 1.3cm, the vesico-vaginal fistula size was 3.5cm with the ureters situated 0.5 cm from the edge (Figure 2).
case_images: Microscopic aspect of lobular capillary hemangioma.
case_images: IMCRJ-15-225-g0003.jpg
case_images: PMC9057226_01_IMCRJ-15-225-g0003.jpg
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case_images: The dermis was characterized by extensive angiogenic activity, congestion and mixed moderate inflammatory infiltrates diagnostic of lobular capillary hemangioma (Figure 3).
case_images: Surgical management of the fistula.
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case_images: PMC9057226_01_IMCRJ-15-225-g0004.jpg
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case_images: We performed a repair of the vesico-urethro-vaginal fistula (Figure 4), using sharp dissection after the incision around the edge of the fistula.
case_images: Final aspect after fistula repair (vaginal closure).
case_images: IMCRJ-15-225-g0005.jpg
case_images: PMC9057226_01_IMCRJ-15-225-g0005.jpg
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case_images: After a negative dye test, the vaginal mucosa was closed (Figure 5).