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Live fetus inside the urinary bladder: a case report

机译：膀胱内活胎儿：一例报告

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摘要

Vesicouterine fistula is a rare condition. Its incidence, however, has been increasing due to the higher incidence of cesarean sections. The presence of a live fetus inside the bladder who passed through a vesicouterine fistula is an extremely rare situation. We report a case of woman who underwent two previous cesarean sections, was referred to a hospital due to mild pelvic pain and genital bleeding. At the moment, physical examination was normal. Ultrasound scan revealed a gestational sac inserted into the anterior wall of the uterus, with a living fetus of approximately 13 weeks, with active body movement and normal heart rate inside it. The fetal abdomen, around the waist, was stuck at the opening of a vesicouterine fistula, so that the fetal head and trunk were entirely into the bladder cavity, while lower limbs remained at the uterine cavity. Laparotomy was performed, the fistulous tract was excised, the fetus (without heart beating) was removed on opening the bladder, and the uterine cavity was emptied. The defects in the bladder and uterus were repaired. The postoperative period was uneventful. A live fetus inside the urinary bladder is a rare condition the continuation of pregnancy is unlikely and the vesicouterine correction can be made by the time of surgical intervention.
机译：子宫子宫瘘是一种罕见的疾病。然而，由于剖宫产的发生率较高，其发病率一直在增加。膀胱内存在通过胎儿子宫瘘的活胎儿的情况极为罕见。我们报告一例曾经历两次剖腹产的妇女，因轻微的骨盆疼痛和生殖器出血而被转诊到医院。目前，体格检查正常。超声扫描显示，一个妊娠囊插入子宫的前壁，活着的胎儿大约有13周，体内活动活跃，心律正常。腰部的胎儿腹部被卡在膀胱子宫瘘的开口处，因此胎儿的头和躯干完全进入膀胱腔，而下肢保留在子宫腔中。进行剖腹手术，切开瘘管，在打开膀胱时取出胎儿（无心脏跳动），并排空子宫腔。膀胱和子宫的缺损得以修复。术后期间平稳。膀胱内有活的胎儿是一种罕见的疾病，不可能继续妊娠，并且可以在手术干预时进行膀胱子宫矫正。

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