title: Fistula between degenerated uterine leiomyoma and the bladder: case report.
abstract: Most common reason for the vesicouterine fistula is a cesarean section; no cases were reported of degenerated uterine leiomyoma communicating with the urinary bladder. We report a case of fistulous communication between the degenerated leiomyoma and the bladder. The patient's initial clinical presentation was consistent with recurrent UTI. She underwent multiple examinations including cystoscopy, cystouretrography, retrograde pyeolography, and MRI. The ultimate treatment was an exploratory laparotomy and en-block resection of the bladder wall, fistula tract, and degenerated leiomyoma. Fistula can develop between the bladder and degenerated leiomyoma and could be one of the reasons for the chronic pelvic pain and dysuria.
authors: Department of Obstetrics and Gynecology, Maimonides Medical Center, 950 49th street apt 9J, Brooklyn, New York, NY, USA. Dmitry.Fridman@gmail.com
authors: Dmitry
authors: D
authors: Fridman
authors: Shamik
authors: S
authors: Chakraborty
authors: Neekianund
authors: N
authors: Khulpateea
mesh_terms: D015653:Cystectomy; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007889:Leiomyoma / Q000175:diagnosis* / Q000601:surgery; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000601:surgery; D001747:Urinary Bladder Fistula / Q000175:diagnosis* / Q000601:surgery; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000601:surgery; D014599:Uterus / Q000000981:diagnostic imaging / Q000601:surgery