CASE REPORT   

Journal of Radiological Review 2020 January-February;7(1):71-5

DOI: 10.23736/S2723-9284.20.00248-X

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English, Italian

Vesicouterine fistula following cesarean section: computed tomography findings

Federica ARNONE, Dario GIAMBELLUCA ✉, Giuseppe CUTAIA, Giuseppe SALVAGGIO, Antonio LO CASTO

Department of Radiology Sciences, University of Palermo, Palermo, Italy

Vesicouterine fistula (VUF) is an uncommon urogenital fistula. The incidence is on the rise because of increasing incidence of cesarean sections. Cyclical hematuria due to “menouria”, i.e. vesical menstruation, caused by a fistulous tract above the level of internal orifice of the uterus communicating with the bladder, a distinctive feature, and amenorrhea are important symptoms, which may be associated with urinary incontinence. The diagnosis of VUF is confirmed by cystoscopy. Although cystography and hysterosalpingography are considered the gold standard imaging techniques for VUF detection, computed tomography (CT) can allow diagnosis. Only sporadic cases of VUF are reported in the literature. A case of supratrigonal vesicouterine fistula, following a cesarean section, diagnosed by CT with the use of multiplanar reconstruction images, and successfully managed with surgical repair because of non-healing with conservative therapy alone, is reported.

KEY WORDS: Fistula; Hematuria; Cesarean section; Tomography, X-ray computed