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BACKGROUND: Vesicouterine fistulae as an obstetrical complication have been reported only in women with a history of cesarean. We present a patient with no such history who developed a vesicouterine fistula after vaginal delivery. CASE: A 43-year-old gravida 5 at term with no history of cesarean presented in the latent phase of labor. Gross hematuria was noted intrapartum, and a foley catheter was placed. A cystogram showed an extraperitoneal bladder perforation. The patient had urinary incontinence despite Foley catheter drainage. The diagnosis of vesicouterine fistula was made by cystoscopy and fistulogram. The patient had a successful repair at 3 months. CONCLUSION: This is a rare case of a vesicouterine fistula developing during a pregnancy with no previous cesarean. Accurate diagnosis is essential because surgical repair has an excellent outcome.
BACKGROUND: Vesicouterine fistulae as an obstetrical complication have been reported only in women with a history of cesarean. We present a patient with no such history who who developed a vesicouterine fistula after vaginal delivery. CASE: A 43-year-old gravida 5 at term with no history of cesarean presented in the latent phase of labor. Gross diagnosis of vesicouterine fistula was made. The patient had urinary incontinence was Foley catheter drainage. by cystoscopy and fistulogram. The patient had a successful repair at 3 months. CONCLUSION: This is a rare case of a vesicouterine fistula developing during a pregnancy with no previous cesarean. Accurate diagnosis is essential because surgical repair has an excellent outcome.