CT vaginography: a new CT technique for imaging of upper and middle vaginal fistulas.

Détails

ID Serval
serval:BIB_8235E9A2FA67
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
CT vaginography: a new CT technique for imaging of upper and middle vaginal fistulas.
Périodique
The British journal of radiology
Auteur⸱e⸱s
Botsikas D., Pluchino N., Kalovidouri A., Platon A., Montet X., Dallenbach P., Poletti P.A.
ISSN
1748-880X (Electronic)
ISSN-L
0007-1285
Statut éditorial
Publié
Date de publication
05/2017
Peer-reviewed
Oui
Volume
90
Numéro
1073
Pages
20160947
Langue
anglais
Notes
Publication types: Clinical Trial ; Journal Article
Publication Status: ppublish
Résumé
Different types of vaginal fistulas is a relatively uncommon condition in the Western world but very frequent in developing countries. In the past, conventional vaginography was the radiological examination of choice for exploring this condition. CT and MRI are now both used for this purpose. Our objective was to test the feasibility and to explore the potential role of a new CT imaging technique implementing vaginal introitus obstruction and opacification of the vagina with iodine contrast agent, to show patency of a fistula.
We describe the technical protocol of CT-vaginography as performed in Geneva University Hospitals, including vaginal catheterization with a Foley catheter and obstruction of the introitus by inflating the balloon of the catheter. We also report three cases of patients with suspected vaginal fistula who underwent CT-vaginography.
The examinations were technically successful. In one patient, it revealed the presence of fistulous pathways from the vaginal fornix along the bilateral infected surgical prostheses. In a second patient, it showed a fistula between the vagina and the necrotic cavity of a recurrent cervical cancer. In a third patient, it proved the absence of a suspected vaginal fistula.
CT-vaginography is a technically feasible CT protocol that provides anatomical and functional information on clinically suspected vaginal fistulas. Advances in knowledge: After the abandon of conventional vaginography in the era of transaxial imaging, the current modalities of imaging vaginal fistulas provide excellent anatomical detail but less functional information concerning the permeability of a vaginal fistulous pathway. We propose the use of CT-vaginography, a technical protocol that we describe in detail.
Mots-clé
Feasibility Studies, Female, Humans, Middle Aged, Tomography, X-Ray Computed/methods, Urinary Catheterization, Vagina/diagnostic imaging, Vaginal Fistula/diagnostic imaging
Pubmed
Web of science
Création de la notice
15/09/2023 13:24
Dernière modification de la notice
27/09/2023 9:13
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