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Vesicouterine fistula: a rare complication of vaginal birth after cesarean
J R Miklos1, E Sze, D Parobeck
1Department of Obstetrics and Gynecology, Good Samaritan Hospital, Cincinnati, Ohio, USA.
Obstetrics and Gynecology
|October 1, 1995
Background:
Vesicouterine fistula is rare. We report a vesicouterine fistula that was the direct result of a vaginal delivery in a patient with a history of lower uterine segment cesarean delivery.
Case:
A woman developed a vesicouterine fistula during vaginal delivery after a previous cesarean. An anterior uterine wall defect was noted immediately after the delivery. Continuous bladder drainage was unsuccessful in managing her fistula, and surgical correction was necessary.
Conclusion:
Although rare, a vesicouterine fistula can occur as a complication of vaginal delivery in patients with a history of cesarean delivery.