The New Indian Journal of OBGYN 3(1)

Vault fistula after caesarean hysterectomy may be confused with Asherman syndrome

Surat Zaman, Hemkanta Sarma

ABSTRACT

Complications are possible in all type of surgeries including caesarean hysterectomy irrespective of the experience of the operating surgeon or the presence of associated risk factors. If the surgeon is careful from the beginning of the surgery and follows all the preventive measures complications like urinary tract injuries and vesico-vaginal fistula formation following caesarean hysterectomy can be avoided. Here we are presenting a case of vesico-vaginal fistula with an intrauterine contraceptive device (IUCD) in the urinary bladder formed following caesarean hysterectomy. A 35 years old women P2L1 with history of 10 years of amenorrhea & continuous involuntary leakage of urine after LSCS attended gynaecologist who inserted a copper-T (Cu-T) through the vault fistula. The rent in the vagina looked like a flushed cervix in a perimenopausal woman.