Tatar Burak, Erdemoğlu Ebru, Soyupek Sedat, Yalçın Yakup, Erdemoğlu Evrim
Süleyman Demirel University Faculty of Medicine, Department of Gynecologic and Oncology, Isparta, Turkey.
Isparta Maternity Hospital, Clinic of Obstetrics and Gynecology, Isparta, Turkey.
Turk J Obstet Gynecol. 2016 Mar;13(1):46-49. doi: 10.4274/tjod.71135. Epub 2016 Mar 10.
Vesicocutaneous fistulas are very rare pathologies in the urinary tract. We present the second case of a vesicocutaneus fistula after cesarean section, and discuss strategies for prevention, diagnosis, and treatment of this exceptional complication. A woman with a vesicocutaneous fistula after cesarean delivery was admitted and diagnostic tests including fluoroscopy, magnetic resonance imaging (MRI), and reconstructed MRI revealed the fistula tract and an urachal anomaly. The patient was treated through excision of the fistula tract. Laparotomy should be performed carefully, and the surgeon should be aware of the urachus. Inadvertent trauma to the urachus during laparotomy might cause serious unexpected complications. Possible etiologic factors for vesicocutaneous fistulae, prevention, and treatment methods are discussed.
膀胱皮肤瘘是泌尿系统中非常罕见的病症。我们报告了剖宫产术后膀胱皮肤瘘的第二例病例，并讨论了针对这种特殊并发症的预防、诊断和治疗策略。一名剖宫产术后发生膀胱皮肤瘘的女性入院，包括荧光镜检查、磁共振成像（MRI）和重建MRI在内的诊断测试显示了瘘管和脐尿管异常。患者通过瘘管切除术进行治疗。剖腹手术应谨慎进行，外科医生应了解脐尿管。剖腹手术期间对脐尿管的意外损伤可能会导致严重的意外并发症。本文讨论了膀胱皮肤瘘可能的病因、预防和治疗方法。
