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Sonographic diagnosis of vesicouterine fistula
Author(s) -
Park O.R.,
Kim T.S.,
Kim H.J.
Publication year - 2003
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.161
Subject(s) - medicine , cystoscopy , foley catheter , fistula , uterus , surgery , genitourinary system , urinary system , cystoscope , urinary bladder , catheter , anatomy
Vesicouterine fistula is one of the least common types of urogenital fistula, accounting for only 1–4% of all cases. We report a case of vesicouterine fistula after vacuum delivery in a woman with a history of a previous Cesarean section. The 29‐year‐old woman was hospitalized due to continuous serosanguinous vaginal leakage and hematuria. Transvaginal sonography demonstrated the presence of a fistulous tract between the uterus and the bladder. Cystoscopy demonstrated a small opening in the posterior bladder wall and a cystogram revealed a fistulous tract between the posterior portion of the bladder and the uterine cavity. Since the patient could not tolerate her symptoms, we decided to close the fistulous tract surgically. The fistulous tract was excised and the bladder and uterus were closed primarily. The bladder was drained with a Foley catheter for 12 days and subsequent follow‐up of the patient has demonstrated urinary continence. Copyright © 2003 ISUOG. Published by John Wiley & Sons, Ltd.