A cervix penetrating the posterior bladder wall: case report

Int Urogynecol J. 2013 Apr;24(4):697-9. doi: 10.1007/s00192-012-1849-1. Epub 2012 Jun 16.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cesarean Section / adverse effects
  • Female
  • Humans
  • Urinary Bladder Fistula / diagnosis*
  • Urinary Bladder Fistula / etiology
  • Urinary Bladder Fistula / surgery
  • Uterine Cervical Diseases / diagnosis*
  • Uterine Cervical Diseases / etiology
  • Uterine Cervical Diseases / surgery