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Vesicouterine Fistula and Fetus in Bladder: A Case Report.
- Source :
-
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC [J Obstet Gynaecol Can] 2020 May; Vol. 42 (5), pp. 634-636. Date of Electronic Publication: 2019 Oct 31. - Publication Year :
- 2020
-
Abstract
- Background: Vesicouterine fistulas are the rarest of all urogenital fistulas, with most cases occurring after cesarean section.<br />Case: A 38-year-old woman in rural Zimbabwe presented at 20 weeks gestation with a suspected fetus in the urinary bladder by transabdominal ultrasonography. This finding was confirmed intraoperatively together with a vesicouterine fistula. Cesarean section 20 years earlier was the only risk factor. Diagnosis was delayed for lack of access to appropriate imaging and a tertiary facility.<br />Conclusion: A vesicouterine fistula is a rare presentation in the context of an advanced health care system. To our knowledge, this is the fourth case report of a fetus in the bladder secondary to vesicouterine fistula. Patient morbidity in this case possibly could have been avoided with earlier diagnosis and access to care.<br /> (Copyright © 2019 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Female
Humans
Pregnancy
Pregnancy Outcome
Ultrasonography
Cesarean Section adverse effects
Fetus
Urinary Bladder Fistula diagnostic imaging
Urinary Bladder Fistula etiology
Urinary Bladder Fistula surgery
Uterine Diseases diagnostic imaging
Uterine Diseases etiology
Uterine Diseases surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1701-2163
- Volume :
- 42
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
- Publication Type :
- Report
- Accession number :
- 31679917
- Full Text :
- https://doi.org/10.1016/j.jogc.2019.06.010