Post-caesarean vesico-uterine fistula: a rare entity becomin
Vesicouterine fistula (VUF) is rare, with an incidence estimated at 1-4% of all genitourinary fistulas. Published in the International Journal of Reproduction, Contraception, Obstetrics and Gynecology, the authors report a case of VUF which was referred to them on the 6th postoperative day following an emergency repeat lower section caesarean section (LSCS) at 39 weeks, with complaints of hematuria and watery discharge per vaginum for further management.

The patient had stable vitals with slight abdominal distension and tenderness and watery discharge per vaginum having an ammoniacal odour. USG examination showed Foley’s bulb inside uterine cavity. CT abdomen confirmed the findings and showed presence of contrast inside uterine cavity. The patient was re-operated on 9th postoperative day in concurrence with urologists.

Cystoscopy revealed a 2 cm size fistulous opening. Intra-operative findings revealed a fistulous track between posterior wall of bladder and uterine incision. Appropriate reparative surgery was done.

Key Takeaway:-
Obstetricians need to be aware of this condition particularly while operating on previous caesarean sections.

Read about the case in detail here:
Dr. A●●●●●●●a S●●●i and 2 other likes this
Dr. H●●●●h D●●●i
Dr. H●●●●h D●●●i Obstetrics and Gynaecology
With increasing number of cesarean sections such uncommon complications are bound to happen
Aug 24, 2018Like1