Harzif Achmad Kemal, Maidarti Mila, Ginanjar Ivan, Shadrina Amalia, Meutia Alfa Putri
Department of Obstetrics and Gynecology, Faculty of Medicine University of Indonesia Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Department of Obstetrics and Gynecology, Faculty of Medicine University of Indonesia Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Int J Surg Case Rep. 2021 Mar;80:105709. doi: 10.1016/j.ijscr.2021.105709. Epub 2021 Feb 25.
Vesicouterine fistula (VUF) is an abnormal communication between the bladder and uterus, occurring 1-4% of all urogenital fistulas. Diagnosis is still a challenge because symptoms may appear late or fistula may be missed even after repeated examination. A 37-year old woman who has two children born through caesarean section complained of the absence of menstruation for the past three years. At the same time point, she experienced cyclic haematuria and amenorrhea. The diagnosis was made through ultrasonography, cystoscopy and hysteroscopy. She was then managed with laparoscopic bladder fistula repair continued with total laparoscopic hysterectomy. The VUF can present as an undesirable consequence of caesarean section.
膀胱子宫瘘（VUF）是膀胱与子宫之间的异常通道，占所有泌尿生殖瘘的1%-4%。诊断仍然是一项挑战，因为症状可能出现较晚，或者即使经过反复检查仍可能漏诊瘘管。一名37岁经剖宫产分娩两个孩子的妇女，主诉过去三年停经。同时，她出现周期性血尿和闭经。通过超声、膀胱镜检查和宫腔镜检查做出诊断。随后对她进行了腹腔镜膀胱瘘修补术，接着进行了全腹腔镜子宫切除术。膀胱子宫瘘可能是剖宫产的不良后果。
