Tubal malformation with primary vesico-tubal fistula

Excerpt

A 27-year-old infertile female received hysterosalpingo contrast sonography, which showed a slender tube connecting the right-hand-side fallopian tube and the bladder (Fig. 1). Her history hinted no menouria, cyclical haematuria, urinary incontinence or abnormal vaginal secretions. Thereafter, laparoscopy, hysteroscopy and cystoscopy examinations were performed, and results demonstrated a supratrigonal fistula of 1–2 mm diameter (Figs. 2 and 3). We separated the adhesion and cut open the fistula to reveal the fistulous track. The bladder was then sutured in a single layer with 3–0 polyglactin intracorporeal sutures. In the meantime, a bilateral tubal resection was performed for IVF treatment. We found that each fallopian tube had two lumens under the laparoscopy and microscope (Fig. 4). The patient suffered no complications after the operation, and 8 days later, the uroscan showed a normal situation.

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