EURORAD ESR

Case 12891

Vesicovaginal Fistula Visualized in Multiple Modalities

Author(s)
Ryan J, Moriarty H, Geoghegan T.

Ireland; Email:jamesryannchd@gmail.com
 
Patient
female, 43 year(s)
 
 
  • Figure 1
    Contrast CT Urogram (Urographic phase) Fig 1

    The distal portion of the right-sided nephroureteric stent can be seen in the posterior aspect of the bladder

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Fistula;
     
     
  • Figure 2
    Pelvic MRI (PV gel contrast) T2 weighted sagittal image

    Gel can be visualized extending from the vaginal vault to the posterior aspect of a decompressed bladder indicating the presence of a large VVF

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Contrast agent-other; Special Focus: Fistula;
     
     
  • Figure 3
    PET

    Fluorodeoxyglucose (FDG) avidity can be seen in the bladder and delineating the vaginal vault

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: PET; Procedure: Imaging sequences; Special Focus: Fistula;
     
     
  • Figure 4
    PET CT

    An axial fused PET CT image again shows FDG accumulation in the vagina

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: PET-CT; Procedure: Imaging sequences; Special Focus: Fistula;
     
     
  • Figure 5
    Anterograde Ureteric Stent Placement

    The distal part of the guide wire can be seen passing into the vagina

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Conventional radiography; Procedure: Stents; Special Focus: Fistula;
     
     
The distal portion of the right-sided nephroureteric stent can be seen in the posterior aspect of the bladder
 
Gel can be visualized extending from the vaginal vault to the posterior aspect of a decompressed bladder indicating the presence of a large VVF
 
Fluorodeoxyglucose (FDG) avidity can be seen in the bladder and delineating the vaginal vault
 
An axial fused PET CT image again shows FDG accumulation in the vagina
 
The distal part of the guide wire can be seen passing into the vagina
 
 
 
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