Cyclical haematuria sequel to uterine myomectomy: a case report.
A thirty-year old married nulliparous lady had a difficult myomectomy done by a general practitioner one year prior to presentation. Two months after the operation, she had her menstruation, but with a concurrent total, painless haematuria. This combination continued for nine months before her family physician referred her to the urological clinic. Full urological work-up revealed an iatrogenic vesico-uterine fistula, but the features were not consistent with those of the classical vesico-uterine fistula syndrome. Transabdominal fistulectomy not only controlled the haematuria but also helped the patient to achieve a viable pregnancy.
Okafor
P I S
PI
Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, P.O. Box 5025, Nigeria.
Orakwe
J C
JC
Mbonu
O O
OO
D000328:Adult; D003558:Cystoscopy; D005260:Female; D005402:Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006417:Hematuria / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007247:Infertility, Female / Q000209:etiology; D007889:Leiomyoma / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012017:Referral and Consultation; D001747:Urinary Bladder Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014567:Urography; D014591:Uterine Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014594:Uterine Neoplasms / Q000150:complications / Q000601:surgery*