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Related Experiment Videos

Vesicouterine fistula after cesarean section. A case report

K K Vu1, P C Brittain, J P Fontenot

  • 1Department of Obstetrics/Gynecology and Urology, William Beaumont Army Medical Center, El Paso, Texas 79920-5001, USA.

The Journal of Reproductive Medicine
|March 1, 1995
PubMed
Summary

A vesicouterine fistula developed after a repeat cesarean section and bladder injury. Surgical intervention was necessary when conservative management failed, highlighting the importance of prompt diagnosis and treatment for this rare complication.

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Area of Science:

  • Urogynecology
  • Obstetrics & Gynecology
  • Surgical Case Report

Background:

  • Vesicouterine fistulas are rare, abnormal connections between the bladder and uterus.
  • They can occur secondary to obstetric or gynecologic procedures, including cesarean sections.

Observation:

  • A 27-year-old woman experienced a vesicouterine fistula after a repeat cesarean section complicated by inadvertent cystotomy.
  • Initial management with prolonged bladder catheterization was unsuccessful in resolving the fistula.

Findings:

  • The vesicouterine fistula required definitive surgical management.
  • Total abdominal hysterectomy with fistula tract resection and primary closure was performed.

Implications:

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  • This case underscores the potential for rare but serious complications following cesarean delivery.
  • Prompt surgical intervention may be necessary for refractory vesicouterine fistulas.
  • Management strategies for vesicouterine fistulas require careful consideration of fistula tract anatomy and patient factors.