[Uterus-bladder fistula causing repeated spontaneous abortion]

Area of Science:

• Gynecology
• Obstetrics
• Surgical Case Report

Background:

• Uterus-bladder fistulas are rare but serious complications.
• Cesarean sections carry a risk of iatrogenic injury, potentially leading to fistula formation.

Observation:

• A patient developed a uterus-bladder fistula post-Cesarean section.
• The fistula resulted in repeated spontaneous abortions over two pregnancies, complicated by dry labor and umbilical cord prolapse.

Findings:

• The uterus-bladder fistula was the direct cause of recurrent pregnancy loss.
• Successful surgical management included hysterectomy and direct closure of the bladder fistula.

Implications:

• This case highlights the importance of recognizing and managing post-Cesarean section fistulas.
• Prompt surgical intervention is crucial for resolving such complications and restoring reproductive health.