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Cyclical haematuria sequel to uterine myomectomy: a case report
P I S Okafor1, J C Orakwe, O O Mbonu
1Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, P.O. Box 5025, Nigeria.
Abstract:
A thirty-year old married nulliparous lady had a difficult myomectomy done by a general practitioner one year prior to presentation. Two months after the operation, she had her menstruation, but with a concurrent total, painless haematuria. This combination continued for nine months before her family physician referred her to the urological clinic. Full urological work-up revealed an iatrogenic vesico-uterine fistula, but the features were not consistent with those of the classical vesico-uterine fistula syndrome. Transabdominal fistulectomy not only controlled the haematuria but also helped the patient to achieve a viable pregnancy.