Image Question-17

Contents

What is the diagnosis of Image?

A. Vesico uterine fistula

B. Vesicovaginal Fistula

C. Retroverted Urerus

D. Bicornuate uterus

ANSWER

B. Vesicovaginal Fistula.
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Fistula seen as a hypodense area with excretion of contrast into the vagina
CT cystogram – tract seen

Simple fistulas – small in size – ≤ 0.5cm

Complex fistulas include – previously failed fistula repairs or large-sized (≥2.5 cm)

Most authors consider intermediate-sized fistulas [ between 0.5 and 2.5 cm ] as complex ones.