Atypical presentation of vesicouterine fistula (Youssef’s syndrome) post-caesarean gossypiboma: a case report

Q4 Medicine
A. Khalid, A. Alhassan, J. O. Ejembi, A. Abdulwahab-Ahmed
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引用次数: 0

Abstract

Vesicouterine fistula as described by Youssef manifests with amenorrhea, and cyclic haematuria (menouria) without urinary incontinence commonly following caesarean section. Other aetiologies have been reported for this disease. The post-caesarean section gossypiboma, a dual aetiology causing this condition is rare and can make its presentation atypical, thus posing a diagnostic dilemma. The clinical evaluation alone in the atypical presentation of the vesicouterine fistula is insufficient except complemented by imaging investigations and endoscopic examination of the related organs. We report a case of vesicouterine fistula that was managed initially as chronic pelvic inflammatory disease despite urinary incontinence until further evaluation including a transvaginal ultrasound scan and urethrocystoscopy raised an index of suspicion of a vesical mass suggestive of gossypiboma. The mass was confirmed to be a foreign body, an abdominal gauze pack, or gossypiboma. Its removal and repair of the vesicouterine fistula were associated with a satisfactory outcome.
剖宫产后膀胱外瘘(优素福综合征)的非典型表现:1例报告
Youssef描述的膀胱子宫瘘表现为闭经和周期性血尿(月经尿),通常在剖腹产后无尿失禁。这种疾病的其他病因也有报道。剖腹产后的棉质瘤是导致这种情况的双重病因,这种情况很少见,而且可能使其表现非典型,从而造成诊断困境。除非辅以影像学检查和相关器官的内镜检查,否则仅对膀胱外瘘的非典型表现进行临床评估是不够的。我们报告了一例膀胱外瘘,尽管尿失禁,但最初作为慢性盆腔炎进行治疗,直到包括经阴道超声扫描和尿道膀胱镜检查在内的进一步评估提高了怀疑膀胱肿块提示棉质瘤的指数。肿块被确认为异物、腹部纱布包或棉质瘤。其膀胱外瘘的切除和修复取得了令人满意的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Urogynaecologia International Journal
Urogynaecologia International Journal Medicine-Obstetrics and Gynecology
CiteScore
0.20
自引率
0.00%
发文量
10
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