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September 15, 1962

Spontaneous Closure of Vesicouterine Fistula Following Cesarean Section: Report of a Case

Author Affiliations

New York City

JAMA. 1962;181(11):997-999. doi:10.1001/jama.1962.03050370065017b

A VESICOUTERINE FISTULA may be defined as an abnormal communication between the bladder and uterine cavity above the level of the cervical internal os, which allows the menstrual blood to enter the bladder and causes cyclic hematuria. Normal menstruation and leakage of urine from the vagina are usually absent. Figure 1 demonstrates the anatomy of this type of fistula as compared with the other more common genitourinary fistulas. Only 8 cases of vesicouterine fistula have been described in the world literature to date, probably because this condition is almost always a complication of the lower-segment type of cesarean section which has been popular in only the past 25 years. This is the first case report of a vesicouterine fistula that closed spontaneously.

Report of a Case

A 25-year-old, primigravid, clinic patient was admitted to the Lenox Hill Hospital labor ward on Nov. 21, 1958, at term and in early labor.