Roxana Caraman1, Adrian Toma1, Irina Balescu2, Ovidiu Stiru3,4, Cornel Savu5,6, Camelia Diaconu7,8, Nicolae Bacalbasa1,9,10. 1. Department of Obstetrics and Gynecology, "Dr. I. Cantacuzino" Clinical Hospital, Bucharest, Romania. 2. Department of Surgery "Ponderas" Academic Hospital, Bucharest, Romania; irina.balescu@ponderas-ah.ro. 3. Emergency Institute for Cardiovascular Diseases "Prof. Dr. C.C. Iliescu", Bucharest, Romania. 4. Department of Cardio-Thoracic Pathology, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. 5. Department of Thoracic Surgery, "Marius Nasta" National Institute of Pneumophtisiology, Bucharest, Romania. 6. Department of Thoracic Surgery, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. 7. Department of Internal Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. 8. Department of Internal Medicine, Clinical Emergency Hospital of Bucharest, Bucharest, Romania. 9. Department of Visceral Surgery, Center of Excellence in Translational Medicine "Fundeni" Clinical Institute, Bucharest, Romania. 10. Department of Obstetrics and Gynecology, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Abstract
BACKGROUND/AIM: Vesico-uterine fistulas represent a rare type of genito-urinary fistulas; however, due to the increasing incidence of Caesarean section (C-section) in the last decade, this abnormal communication between the urinary and genital tracts has been reported more often after such surgical procedures. The aim of the current article was to report the case of a 28-year-old patient who was submitted to surgery for a vesico-uterine fistula seven years after a C-section. CASE REPORT: The 28-year-old patient with a previous history of four vaginal deliveries and one C-section was self-presented to the Gynecology Department for cyclic hematuria and diagnosed with a vesico-uterine fistula after injecting methylene blue in the uterine cavity during hysteroscopy. The patient was further submitted to surgery, and a parcelar myometrectomy en bloc with parcelar cystectomy, cystography, and prophylactic salpingectomy was performed. The postoperative outcome was uneventful. CONCLUSION: Although vesico-uterine fistulas represent rare events, they should be considered, especially in young patients with a previous history of C-section.
BACKGROUND/AIM: Vesico-uterine fistulas represent a rare type of genito-urinary fistulas; however, due to the increasing incidence of Caesarean section (C-section) in the last decade, this abnormal communication between the urinary and genital tracts has been reported more often after such surgical procedures. The aim of the current article was to report the case of a 28-year-old patient who was submitted to surgery for a vesico-uterine fistula seven years after a C-section. CASE REPORT: The 28-year-old patient with a previous history of four vaginal deliveries and one C-section was self-presented to the Gynecology Department for cyclic hematuria and diagnosed with a vesico-uterine fistula after injecting methylene blue in the uterine cavity during hysteroscopy. The patient was further submitted to surgery, and a parcelar myometrectomy en bloc with parcelar cystectomy, cystography, and prophylactic salpingectomy was performed. The postoperative outcome was uneventful. CONCLUSION: Although vesico-uterine fistulas represent rare events, they should be considered, especially in young patients with a previous history of C-section.
Authors: Mohamed E Abou-El-Ghar; Ahmed M El-Assmy; Huda F Refaie; Tarek A El-Diasty Journal: J Magn Reson Imaging Date: 2012-04-25 Impact factor: 4.813