Presentation
History of urinary bladder injury during Cesarean section. The patient complains of frank hematuria during menstruation (menouria), with urine leakage from vagina.
Patient Data
Age: 35 years
Gender: Female
From the case:
Vesico-uterine fistula
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There is a well-defined defect in the lower anterior uterine body and posterior urinary bladder wall in the area of the prior Cesarean section. This is compatible with an acquired vesico-uterine fistula.