Vesicouterine fistula presenting with cyclical haematuria mimicking bladder endometriosis: A case report

Achmad Kemal Harzif, Mila Maidarti, Ivan Ginanjar, Amalia Shadrina, Alfa Putri Meutia

Research output: Contribution to journalArticlepeer-review

Abstract

Vesicouterine fistula (VUF) is an abnormal communication between the bladder and uterus, occurring 1–4% of all urogenital fistulas. Diagnosis is still a challenge because symptoms may appear late or fistula may be missed even after repeated examination. A 37-year old woman who has two children born through caesarean section complained of the absence of menstruation for the past three years. At the same time point, she experienced cyclic haematuria and amenorrhea. The diagnosis was made through ultrasonography, cystoscopy and hysteroscopy. She was then managed with laparoscopic bladder fistula repair continued with total laparoscopic hysterectomy. The VUF can present as an undesirable consequence of caesarean section.

Original languageEnglish
Article number105709
JournalInternational Journal of Surgery Case Reports
Volume80
DOIs
Publication statusPublished - Mar 2021

Keywords

  • Case report
  • Cyclic hematuria
  • Secondary amenorrhea
  • Vesicocervical fistula

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