CT evaluation of enterovaginal and vesicovaginal fistulas

Janet E. Kuhlman, Elliot K. Fishman

Research output: Contribution to journalArticlepeer-review

45 Scopus citations


Computed tomography of 25 cases of entero vaginal (19 cases) or vesicovaginal fistula (6 cases) were reviewed. Underlying causes of fistulization included gynecological malignancy and radiation therapy (14 of 25), inflammatory diseases of bowel (8 of 25), and miscellaneous conditions (3 of 25). A CT finding of contrast within the vagina provided definitive confirmation of the suspected diagnosis of vaginal fistula in 60% of patients (15 of 25), a detection rate superior to conventional examinations in our series. Other CT findings suggestive of vaginal fistulas included detection of air (20 of 25) and/or fluid (5 of 25) within the vagina. Computed tomographic findings associated with vaginal fistulas such as radiation changes, contiguous pelvic mass, or adherent thickened bowel gave clues to the underlying etiology of the fistula and provided important information regarding the extent of disease prior to attempted surgical repair.

Original languageEnglish (US)
Pages (from-to)390-394
Number of pages5
JournalJournal of computer assisted tomography
Issue number3
StatePublished - May 1990


  • Abnormalities
  • Computed tomography
  • Fistulas
  • Fistulas
  • Vagina
  • Vaginal

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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