Vesicocervical fistula: rare complication of cesarean section demonstrated by magnetic resonance imaging

Tim J Dudderidge; Shelley V Z Haynes; Adam J W Davies; Michael Jarmulowicz; Mahmoud A Al-Akraa

doi:10.1016/j.urology.2004.07.001

Vesicocervical fistula: rare complication of cesarean section demonstrated by magnetic resonance imaging

Urology. 2005 Jan;65(1):174. doi: 10.1016/j.urology.2004.07.001.

Authors

Tim J Dudderidge¹, Shelley V Z Haynes, Adam J W Davies, Michael Jarmulowicz, Mahmoud A Al-Akraa

Affiliation

¹ Department of Urology, Royal Free Hospital, London, United Kingdom. tim.dudderidge@ucl.ac.uk

PMID: 15667894
DOI: 10.1016/j.urology.2004.07.001

Abstract

We report a rare complication of cesarean section in a 46-year-old woman presenting with incontinence. The patient was noted at cystoscopy to have a lesion on the posterior wall of the bladder. Histologic examination of the biopsied lesion demonstrated endocervical tissue, and subsequent magnetic resonance imaging revealed a vesicocervical fistula. She was treated by open excision of the fistula and repair of the bladder and cervix with omental interposition. Only 16 cases of vesicocervical fistulas have been previously reported, and this is the first to demonstrate the finding on magnetic resonance imaging.

Publication types

Case Reports

MeSH terms

Cesarean Section*
Cystoscopy
Diagnosis, Differential
Female
Fistula / etiology*
Fistula / pathology
Fistula / surgery
Humans
Magnetic Resonance Imaging*
Middle Aged
Omentum / transplantation
Postoperative Complications / etiology*
Postoperative Complications / pathology
Postoperative Complications / surgery
Pregnancy
Transplantation, Heterotopic
Urinary Bladder Fistula / etiology*
Urinary Bladder Fistula / pathology
Urinary Bladder Fistula / surgery
Urinary Bladder Neoplasms / diagnosis
Urinary Incontinence / etiology
Uterine Cervical Diseases / etiology*
Uterine Cervical Diseases / pathology
Uterine Cervical Diseases / surgery