Venema P L, Ottervanger H P, Tegelaar R J
Afd. Urologie, Ziekenhuis Leyenburg, 's-Gravenhage.
Ned Tijdschr Geneeskd. 1994 Mar 12;138(11):578-80.
In a 20-year-old woman with a uterus didelphys a vesicouterine fistula was diagnosed after caesarean section. The symptoms suggested a vesico-vaginal fistula but no abnormalities could be detected vaginally and the methylene-blue test was negative. The fistula was visualised by instillation of radiopaque contrast fluid into the vesical fistula opening, using a ureter catheter. The patient was operated via a transperitoneal route with interposition of peritoneum between the urinary bladder and the uterus.
在一名20岁双子宫女性患者中，剖宫产术后诊断出膀胱子宫瘘。症状提示为膀胱阴道瘘，但经阴道未发现异常，亚甲蓝试验结果为阴性。通过使用输尿管导管向膀胱瘘口注入不透X线的造影剂，使瘘管显影。患者通过经腹途径进行手术，在膀胱和子宫之间置入腹膜。
