title: [A patient with a vesico-uterine fistula].
abstract: 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.
authors.affiliation: Afd. Urologie, Ziekenhuis Leyenburg, 's-Gravenhage.
authors.forename: P L
authors.initials: PL
authors.lastname: Venema
authors.forename: H P
authors.initials: HP
authors.lastname: Ottervanger
authors.forename: R J
authors.initials: RJ
authors.lastname: Tegelaar
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D011183:Postoperative Complications / Q000601:surgery; D011247:Pregnancy; D011859:Radiography; D001747:Urinary Bladder Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014591:Uterine Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery
vernacular_title: Een patiënte met een vesico-uteriene fistel.