TITLE:
Vesico-Vaginal and Recto-Vaginal Fistula and Death Caused by a Vaginal Foreign Body in a Body-Packer
AUTHORS:
Hamidou Soumana Diaouga, Maimouna Chaibou Yacouba, Madeleine Garba Rahamatou, Nafiou Idi, Madi Nayama
KEYWORDS:
Vaginal Foreign Body, Vaginal Discharge, Vesicovaginal Fistula, Rectovaginal Fistula
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.10,
October
25,
2022
ABSTRACT: Foreign body
retained for long duration sometimes causes vesico-vaginal and recto-vaginal fistula.
We report a 60-year-old woman with vaginal foreign body causing vesico-vaginal and recto-vaginal fistula;
she died after foreign body removal due to septic shock. The patient had vaginal
purulent discharge, abdominal pain, and a septic shock. A fragment of stone (limestone)
was present in the vagina, which was removed. The patient developed urinary incontinence
and fecal incontinence after removal of the foreign body. The examination demonstrated
the presence of vesico-vaginal and recto-vaginal fistula. The patient died four
days after removal of the foreign body due to septic shock and multi-visceral failure. During the extraction foreign body, bacteria could be disseminated
into the systemic circulation and might cause septic shock. Thus, wide-spectrum
antibiotic therapy must be used before the procedure, which may decrease the chance
of septic shock.