title: [Fistula as cause of cyclic haematuria in a woman].
abstract: We report a case of a 32-year-old female with a vesicouterine fistula (Youssef's syndrome). She had had a low segment caesarean section and subsequently developed cyclic haematuria and menorrhoea. There was a significant delay in diagnosis of the fistula because of problems with visualising the fistula. In this case the fistula was lastly diagnosed with magnetic resonance imaging (MRI), the patient was treated with hysterectomy (patient's wish) and the fistula tract was repaired succesfully. If investigation with ultrasonography, cystoscopy and computerised tomography at a highly specialised department is negative, we recommend that MRI should be performed.
authors.affiliation: Kløvervænget 20 A, 10. tv., 5000 Odense C. majkenhw@hotmail.com.
authors.forename: Majken Højrup
authors.initials: MH
authors.lastname: Wiborg
authors.forename: Steen
authors.initials: S
authors.lastname: Walter
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D013577:Syndrome; D001747:Urinary Bladder Fistula / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D014591:Uterine Diseases / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery