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An uncommon case of inflammatory infiltration of the urinary bladder in the long-term process of the purulent inflammation of the cervix and vaginal fornix, complicated with vesicovaginal fistula of unknown etiology.

Starownik R, Michalak J, Bar K, Płaza P, Muc K, Rechberger T - Cent European J Urol (2013)

Bottom Line: In the course of five-year treatment we observed a gradual regression of the inflammatory infiltration of both the trigone of the bladder and the vagina as well as a gradual closing of the VVF.The extremely long-lasting and uncommon local inflammatory reactions in the vagina, bladder, and dermal layers mandated the application of conservative treatment.The possibility of difficulties and defective healing of tissues that could result from surgical correction of the VVF are discouraging for both the patient and medical staff.

View Article: PubMed Central - PubMed

Affiliation: Chair and Department of Urology and Urological Oncology at the Medical University of Lublin, Poland.

ABSTRACT
We shall discuss the case of a female patient, aged 64 years, who was suffering from long-term purulent inflammation of the vaginal fornix that later involved the vaginal stump. This inflammatory process spread to the bladder trigone and resulted in vesicovaginal fistula (VVF) formation together with a bilateral hydronephrosis that required the placement of a temporary percutaneous nephrostomy. A non-cicatrized inflammatory reaction occurred at the right-sided insertion of the nephrostomy, which has yet to be successfully treated despite intensive dermatological and surgical approaches that included skin grafting. In the course of five-year treatment we observed a gradual regression of the inflammatory infiltration of both the trigone of the bladder and the vagina as well as a gradual closing of the VVF. The extremely long-lasting and uncommon local inflammatory reactions in the vagina, bladder, and dermal layers mandated the application of conservative treatment. The possibility of difficulties and defective healing of tissues that could result from surgical correction of the VVF are discouraging for both the patient and medical staff.

No MeSH data available.


Related in: MedlinePlus

Intravenous urography.
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Figure 0001: Intravenous urography.

Mentions: In May 2006, in cystoscopy, an inflammatory change was observed in the area of the left ureter orifice (the macroscopic image triggered suspicions of a tumor that was resected). A histopathological examination revealed a bloated chronic/acute inflammatory process involving granulation, as well as an unspecific inflammatory infiltration comprising lymphocytes, plasmacytes, and both acidophilic and neutrophilic granulocytes. It was also observed that the inflammatory reaction in the vaginal stump had intensified, and so had the inflammatory reaction with dermal necrosis in the area of the former right–sided nephrostomy. A urography showed no abnormality (Fig. 1).


An uncommon case of inflammatory infiltration of the urinary bladder in the long-term process of the purulent inflammation of the cervix and vaginal fornix, complicated with vesicovaginal fistula of unknown etiology.

Starownik R, Michalak J, Bar K, Płaza P, Muc K, Rechberger T - Cent European J Urol (2013)

Intravenous urography.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3921846&req=5

Figure 0001: Intravenous urography.
Mentions: In May 2006, in cystoscopy, an inflammatory change was observed in the area of the left ureter orifice (the macroscopic image triggered suspicions of a tumor that was resected). A histopathological examination revealed a bloated chronic/acute inflammatory process involving granulation, as well as an unspecific inflammatory infiltration comprising lymphocytes, plasmacytes, and both acidophilic and neutrophilic granulocytes. It was also observed that the inflammatory reaction in the vaginal stump had intensified, and so had the inflammatory reaction with dermal necrosis in the area of the former right–sided nephrostomy. A urography showed no abnormality (Fig. 1).

Bottom Line: In the course of five-year treatment we observed a gradual regression of the inflammatory infiltration of both the trigone of the bladder and the vagina as well as a gradual closing of the VVF.The extremely long-lasting and uncommon local inflammatory reactions in the vagina, bladder, and dermal layers mandated the application of conservative treatment.The possibility of difficulties and defective healing of tissues that could result from surgical correction of the VVF are discouraging for both the patient and medical staff.

View Article: PubMed Central - PubMed

Affiliation: Chair and Department of Urology and Urological Oncology at the Medical University of Lublin, Poland.

ABSTRACT
We shall discuss the case of a female patient, aged 64 years, who was suffering from long-term purulent inflammation of the vaginal fornix that later involved the vaginal stump. This inflammatory process spread to the bladder trigone and resulted in vesicovaginal fistula (VVF) formation together with a bilateral hydronephrosis that required the placement of a temporary percutaneous nephrostomy. A non-cicatrized inflammatory reaction occurred at the right-sided insertion of the nephrostomy, which has yet to be successfully treated despite intensive dermatological and surgical approaches that included skin grafting. In the course of five-year treatment we observed a gradual regression of the inflammatory infiltration of both the trigone of the bladder and the vagina as well as a gradual closing of the VVF. The extremely long-lasting and uncommon local inflammatory reactions in the vagina, bladder, and dermal layers mandated the application of conservative treatment. The possibility of difficulties and defective healing of tissues that could result from surgical correction of the VVF are discouraging for both the patient and medical staff.

No MeSH data available.


Related in: MedlinePlus