We present a 46-year-old female patient presented with complaints of continuous dribbling of urine through vagina. She gave a history of hysterectomy –1 month back – for uterine fibroids. Her immediate post-operative period was uneventful. There was no history of fever.
Final Diagnosis: Ureterovaginal fistula
Imaging Findings:
Computed tomography (CT), in the delayed phase, showed dilated right ureter (Figure 1.a and 1.b) and contrast leak from ureter into the vagina (Figure 2.a, 2.b and 2.c). There was no demonstrable communication between urinary bladder and vagina. Stenting could not be done, either with antegrade or retrograde techniques. Hence, patient was treated with percutaneous nephrostomy and ureteroneocystostomy. Postoperative CT revealed nodemonstrable ureteric leakage (Figure 3).