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Published on: February 6, 2011
A cervix penetrating the posterior bladder wall: case report
Ghadeer Al-Shaikh1, Bilal Marwa
1Department of Obstetrics & Gynecology, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia. ghadeer-alshaikh@hotmail.com
Abstract:
Clinical manifestations of vesicouterine fistulas, a rare complication of cesarean section, include amenorrhea and cyclic hematuria (menouria) without urinary incontinence, a triad collectively known as "Youssef's syndrome." Fistulas affecting the uterus usually reside above the isthmus or at the cervix and have a distinct morphology composed of granulation tissue, chronic inflammatory cells, and fibrous tissue. We present a case of Youssef's syndrome where the patient's entire cervix penetrated into the posterior bladder wall rather than the two organs connecting via a discrete fistulous tract.
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