PMC10065752_01
Panel of computed tomography with contrast images showing percutaneous fistula with leakage to labial folds on last image.
LS-JSLS230004F002.jpg
PMC10065752_01_LS-JSLS230004F002.jpg
F1
One day before surgery, a 6-degree locking loop drain was crossed percutaneously into the fistula and into the vagina for localization of vaginal end of the fistula (Figure 1, 2).
Computed tomography and fluoroscopic fistulogram with contrast dye (left) and drains (right) passed percutaneously from gluteal abscess (white arrow) to vagina (yellow arrow).
LS-JSLS230004F001.jpg
PMC10065752_01_LS-JSLS230004F001.jpg
F2
One day before surgery, a 6-degree locking loop drain was crossed percutaneously into the fistula and into the vagina for localization of vaginal end of the fistula (Figure 1, 2).
Intraoperative transvaginal view of bilateral ureteral stents and computed tomography-guided percutaneous vaginal catheter.
LS-JSLS230004F003.jpg
PMC10065752_01_LS-JSLS230004F003.jpg
F3
Subsequently, a vaginal incision was created around the vaginal tract of the fistula guided by the percutaneous vaginal catheter (Figure 3).
Two sutures removed with ruler for size comparison.
LS-JSLS230004F004.jpg
PMC10065752_01_LS-JSLS230004F004.jpg
F4
The sutures were white in color and appeared similar to Mersilene material (Figure 4).
Gluteal cutaneous vaginal fistula at postoperative visit.
LS-JSLS230004F005.jpg
PMC10065752_01_LS-JSLS230004F005.jpg
F5
At six-week follow-up, the cutaneous fistula was well-healed with no drainage noted (Figure 5).