Vesico-uterine fistula

Case contributed by Dr Omar M. Sultan

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
ultrasound

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.

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