Abstract
We report a vesico-uterine fistula occurring after vaginal delivery in a woman with previous cesarean section. Diagnosis of this rare complication, only 2 cases reported in the literature, is based on clinical findings and retrograde cystography. Medical treatment should be attempted first, but laparotomy is often required for resection of the fistula and simple suture of the bladder and the uterus.
MeSH terms
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Adult
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Anti-Infective Agents, Urinary / therapeutic use
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Cicatrix
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Coloring Agents
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Female
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Fistula / diagnosis
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Fistula / diagnostic imaging
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Fistula / etiology*
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Fistula / surgery
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Fistula / therapy
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Humans
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Hysterectomy
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Labor, Obstetric*
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Methylene Blue / therapeutic use
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Pregnancy
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Urinary Bladder Fistula / diagnosis
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Urinary Bladder Fistula / diagnostic imaging
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Urinary Bladder Fistula / etiology*
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Urinary Bladder Fistula / surgery
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Urinary Bladder Fistula / therapy
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Urinary Catheterization
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Urography
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Uterine Diseases / diagnosis
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Uterine Diseases / diagnostic imaging
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Uterine Diseases / etiology*
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Uterine Diseases / surgery
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Uterine Diseases / therapy
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Vaginal Birth after Cesarean / adverse effects*
Substances
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Anti-Infective Agents, Urinary
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Coloring Agents
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Methylene Blue