A Rare Case of Vesicosalpingo and Vesicovaginal Fistula Following Hysterectomy

Shubham Chaubey

Abstract: Vesicovaginal fistula (VVF) is a well-documented complication of gynecological surgery; however, vesicosalpingo fistula (VSF) is extremely rare. We present a case of a 31-year-old woman who developed both VVF and VSF following an abdominal hysterectomy for uterine fibroids. She presented with abdominal discomfort and continuous vaginal urine leakage. Diagnostic cystoscopy identified two fistulous tracts, which were further evaluated and treated surgically. The patient underwent open surgical repair with the removal of the fallopian tubes and bladder closure reinforced with an omental flap. Postoperative follow-ups showed complete resolution without recurrence. This case emphasizes the importance of thorough assessment and individualized surgical planning in managing multiple fistulas.

Keywords: vesicosalpingo fistula, vesicovaginal fistula, hysterectomy complication, bladder injury, urinary fistula