Vesicouterine fistula: a rare complication of vaginal birth after cesarean.
BACKGROUND
Vesicouterine fistula is rare. We report a vesicouterine fistula that was the direct result of a vaginal delivery in a patient with a history of lower uterine segment cesarean delivery.


METHODS
A woman developed a vesicouterine fistula during vaginal delivery after a previous cesarean. An anterior uterine wall defect was noted immediately after the delivery. Continuous bladder drainage was unsuccessful in managing her fistula, and surgical correction was necessary.


CONCLUSIONS
Although rare, a vesicouterine fistula can occur as a complication of vaginal delivery in patients with a history of cesarean delivery.
Miklos
J R
JR
Department of Obstetrics and Gynecology, Good Samaritan Hospital, Cincinnati, Ohio, USA.
Sze
E
E
Parobeck
D
D
Karram
M M
MM
D000328:Adult; D005260:Female; D005402:Fistula / Q000209:etiology*; D006801:Humans; D011247:Pregnancy; D001747:Urinary Bladder Fistula / Q000209:etiology*; D014591:Uterine Diseases / Q000209:etiology*; D016064:Vaginal Birth after Cesarean / Q000009:adverse effects*