Open AccessUmbilical cord prolapsed through urethra: An unusual presentation of a vesico-uterine fistula
Author(s) -
Aneela Kamil,
Mohsen El Mekresh
Publication year - 2013
Publication title -
urology annals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 20
eISSN - 0974-7834
pISSN - 0974-7796
DOI - 10.4103/0974-7796.110014
Subject(s) - medicine , umbilical cord , cord , presentation (obstetrics) , urethra , trigone of urinary bladder , urinary incontinence , surgery , uterus , urinary bladder , anatomy
Umbilical cord prolapse occurs when a loop of cord is present below the presenting part when the amniotic membranes are ruptured. The incidence is 0.2% of total births. The case presented here is unusual because the definition of cord prolapse cannot be applied to it and the lady did not complain of any history of urinary incontinence or hematuria. The presentation of umbilical cord through maternal urethra led to the speculation of an opening between the anterior uterine wall and the bladder. Fetal demise was diagnosed by abdominal ultrasound. At laprotomy, a communication was found between the bladder and the uterus thus letting the cord traverse through the bladder.