Cystography of a patient undergoing cesarean delivery 40 day | Figure 1

Cystography of a patient undergoing cesarean delivery 40 days ago

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CT cystography. Complaint is vaginal fistula.](https://app.figure1.com/case-detail/217dcaef-52a5-4a9d-befd-abea51465a7b)



A @DrsWithoutBorders team is performing a vacuum assisted delivery in Jahun General Hospital in Jigawa State, Nigeria.
Jigawa State, a rural state in northwestern Nigeria, is estimated to have one of the highest maternal mortality rates in the country. Since 2008, @DrsWithoutBorders has run a project in Jahun General Hospital to improve the quality of maternal obstetrics and address the high maternal mortality rates.
In 2017, more than 1,000 women were admitted monthly to the maternity ward of the hospital. Most women arrived in critical condition, with medical complications such as eclampsia, pre-eclampsia, anemia and obstetric hemorrhage. Vesico-vaginal fistula is also a common yet neglected medical condition, which @DrsWithoutBorders supports through a fistula repair program.](https://app.figure1.com/case-detail/23efdea0-d633-4e96-8839-8098c30daad6)



Any guesses as to what is wrong?](https://app.figure1.com/case-detail/33f75d92-23de-4700-9845-c09176680ebf)

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