Schwartzwald D, Mooppan U M, Tancer M L, Gomez-Leon G, Kim H
J Urol. 1986 Nov;136(5):1066-7. doi: 10.1016/s0022-5347(17)45213-x.
We report a case of a vesicouterine fistula with menouria (vesical menstruation) secondary to an intrauterine contraceptive device. Of the 23 cases of menouria reported previously 21 occurred after cesarean section, 1 was secondary to a traumatic forceps delivery and 1 was owing to infection. In our case the fistula did not close after removal of the perforated intrauterine contraceptive device and 2 months of catheter drainage. Closure was achieved by excision of the fistula and hysterectomy.
我们报告一例因宫内节育器导致的膀胱子宫瘘伴膀胱月经（经血由膀胱排出）。在先前报道的23例膀胱月经病例中，21例发生于剖宫产术后，1例继发于产钳助产创伤，1例因感染所致。在我们的病例中，取出穿孔的宫内节育器并进行2个月的导管引流后，瘘管仍未闭合。通过瘘管切除术和子宫切除术实现了闭合。
