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A Case of Vesicouterine Fistula: Unwanted Medical Anomaly but Consequentiality of Most-Wanted Medical Intervention ?Caesarean Section?

机译:一例子宫子宫瘘:不必要的医学异常,但最需要的医学干预的后果是“剖腹产”

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Vesicouterine fistula is a rare entity, with unique presentation of cyclical haematuria, amenorrhoea, absence of urinary incontinence (Youssef syndrome). A 35 year old female patient, P2L2 with 2 previous LSCS presented with cyclical haematuria, amenorrhoea, repeated UTI, dating from 11th day of last LSCS. Transabdominal sonography revealed communication between bladder & uterus, confirmed by cystoscopy. At laparotomy fistulous tract delineated and bladder separated from uterus. Hysterectomy and closure of bladder done. Continuous bladder drainage with suprapubic and perurethral foleys catheters maintained. Postoperative period was uneventful. Cystoscopy during followup revealed healthy scar. Vesicouterine fistula is an avoidable complication of LSCS which can be prevented by sound surgical technique.
机译:子宫子宫瘘是一种罕见的实体,表现为周期性血尿,闭经,无尿失禁(Youssef综合征)。一名35岁的女性患者P2L2,先前有2例LSCS表现为周期性血尿,闭经,重复性UTI,发生于上一次LSCS的第11天。经膀胱超声检查发现膀胱与子宫之间的通讯,经膀胱镜检查证实。在剖腹手术中划定瘘管,将膀胱与子宫分开。做了子宫切除术和膀胱闭合术。耻骨上和经尿道导管持续膀胱引流。术后期间平稳。随访期间的膀胱镜检查显示出健康的疤痕。子宫子宫瘘是可避免的LSCS并发症,可以通过可靠的手术技术来预防。

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