A cervix penetrating the posterior bladder wall: case report.
Clinical manifestations of vesicouterine fistulas, a rare complication of cesarean section, include amenorrhea and cyclic hematuria (menouria) without urinary incontinence, a triad collectively known as "Youssef's syndrome." Fistulas affecting the uterus usually reside above the isthmus or at the cervix and have a distinct morphology composed of granulation tissue, chronic inflammatory cells, and fibrous tissue. We present a case of Youssef's syndrome where the patient's entire cervix penetrated into the posterior bladder wall rather than the two organs connecting via a discrete fistulous tract.
Department of Obstetrics & Gynecology, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia. ghadeer-alshaikh@hotmail.com
Ghadeer
G
Al-Shaikh
Bilal
B
Marwa
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D005260:Female; D006801:Humans; D001747:Urinary Bladder Fistula / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D002577:Uterine Cervical Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery