Vesicoperitoneal Fistula: A Rare Late Complication of Laparoscopic Removal of Intrauterine Device

Year 2016, Volume: 3 Issue: 3, 145 - 7, 31.03.2016

Oktay Ucer Mehmet Yuksel Gokhan Temeltas Talha Muezzinoglu

Abstract

We present a case of vesicoperitoneal fistula occurring 12 years after laparoscopic removal of the intrauterine device. A 30-year-old primiparous woman presented with acute abdominal pain. On examination, there were sensitivity and painful of all the abdomen quadrants on gentle palpation. The diagnostic workup included transabdominal ultrasonography and contrast computed tomography that revealed leakage of contrast into the peritoneal cavity from the bladder. At laparotomy, the fistula tract was excised.

Vesicoperitoneal fistula is a rare major complication of laparoscopic surgeries and occurs in early postoperative period. We observed the vesicoperitoneal fistula as a late complication of laparoscopic approach in the present case. This may be due to the thinning of a urachal diverticulum wall in the bladder during the laparoscopic procedure. 

Keywords

complication; laparoscopy; vesicoperitoneal fistula.

Vesicoperitoneal fistula: A rare late complication of laparoscopic removal of intrauterine device

Abstract

References

• Kelly J. Repair of obstetric fistulae: review from an overseas perspective. The Obstetrician and Gynaecologist 2002; 4: 205–11.
• Harkki-Siren P, Sjoberg J and Titinen A. Urinary tract injuries after hysterectomy. Obstet Gynecol 1998; 92: 113
• Donnez O, Jadoul P, Squifflet J, et al. A series of 3190 laparoscopic hysterectomies for benign disease from 1990 to 2006: evaluation of complications compared with vaginal and abdominal procedures. BJOG 2009; 116(4): 492-500.
• Ismail S. A vesico-peritoneal fistula presenting with pain. J Obstet Gynaecol 2007; 27(2): 194
• Ooi WL, Sherwood BT, Stanley J, et al. Vesico-peritoneal fistula: a rare cause of chronic abdominal pain. Journal of Clinical Urology 2014; 7(2): 121–2.