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We present a case of vesicoperitoneal fistula occurring 12 years after laparoscopic removal of the intrauterine device.
A 30-year-old primiparous woman presented with acute abdominal pain. On examination, there were sensitivity and painful of all the abdomen quadrants on gentle palpation. The diagnostic workup included transabdominal ultrasonography and contrast computed tomography that revealed leakage of contrast into the peritoneal cavity from the bladder. At laparotomy, the fistula tract was excised.
Vesicoperitoneal fistula is a rare major complication of laparoscopic surgeries and occurs in early postoperative period. We observed the vesicoperitoneal fistula as a late complication of laparoscopic approach in the present case. This may be due to the thinning of a urachal diverticulum wall in the bladder during the laparoscopic procedure.
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