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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 15, Issue 3, July 2015 pp 615-616

Case Report

Rare case of complete inversion of bladder through a vesico vaginal fistula

Dulewad S S1, Sirsam S S2, Pampatwar A D3, Umate S P4

1,3Assistant Professor, 2Associate Professor, 4Resident, Department of Obstetrics and Gynecology, Dr.S.C.G.M.College, Nanded, Maharashtra, INDIA.

Bladder inversion through vesico vaginal fistula is a very complication reported in English literature so far. We have reviewed available literature on this subject and present another case recently managed at our institution.45 year old female presented with complaint of something coming out of vagina since 8 days associated with difficulty in urination and constant dribbling of urine per vaginum. On examination general condition patient was stable, local examination showed erythematous, large fleshy spherical mass of size8to10cm with irregular surface protuding through introitus. Initially we kept differential diagnosis among endometrial polyp, uterine fibroid and bladder inversion as patient had history of forcep delivery. Decision of abdominal hysterectomy taken. Intraoperatively it was complete inversion of bladder through vesicovaginal fistula. Later bladder repositioned intra-abdominally and bladder rent closed vaginally. Postoperative events were uneventful.