Vesicouterine fistula after cesarean section: ultrasonographic findings in two cases

• Published in: Journal of ultrasound in medicine Vol. 18; no. 6; pp. 441 - 443
• Main Authors: Park, B K, Kim, S H, Cho, J Y, Sim, J S, Seong, C K
• Format: Journal Article
• Language: English
• Published: Laurel, MD American Institute of Ultrasound in Medicine 01.06.1999
• Subjects: Adult; Biological and medical sciences; Body fluids; Cesarean Section - adverse effects; Female; Follow-Up Studies; Humans; Investigative techniques, diagnostic techniques (general aspects); Medical imaging; Medical sciences; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the genital tract and mammary gland; Ultrasonic investigative techniques; Ultrasonography; Urinary Bladder Fistula - diagnostic imaging; Urinary Bladder Fistula - etiology; Urinary system; Urology; Uterine Diseases - diagnostic imaging; Uterine Diseases - etiology; Sonography; Human; Urinary system disease; Fistula; Urinary tract disease; Female genital diseases; Case study; Surgery; Uterine diseases; Complication; Female; Diagnosis; Vesicouterine; Cesarean section
• ISSN: 0278-4297; 1550-9613
• DOI: 10.7863/jum.1999.18.6.441

VUF is a rare condition, representing only 1 to 4% of all cases of urogenital fistula. The majority of cases of VUF are iatrogenic, occurring mainly after cesarean section, usually a low segment incision. The diagnosis is most often made by clinical detection of urine or dye passing through an external cervical os or by demonstration of a fistulous tract on HSG or cystography. We report ultrasonographic findings in two patients with VUF manifested by double echogenic lines from the endometrial cavity to the posterior wall of the bladder.