Cyclical Haematuria sequel to uterine Myomectomy: A case report

  • PIS Okafor Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, P. O. Box 5025, Nigeria
  • JC Orakwe Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, P. O. Box 5025, Nigeria
  • OO Mbonu Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, P. O. Box 5025, Nigeria
Keywords: Iatrogenic vesico-uterine fistula, Cyclical haematuria, Transabdominal fistulectomy

Abstract

A thirty-year old married nulliparous lady had a difficult myomectomy done by a general practitioner one year prior to presentation. Two months after the operation, she had her menstruation, but with a concurrent total, painless haematuria. This combination continued for nine months before her family physician referred her to the urological clinic.

Full urological work-up revealed an iatrogenic vesico-uterine fistula, but the features were not consistent with those of the classical vesico-uterine fistula syndrome.

Transabdominal fistulectomy not only controlled the haematuria but also helped the patient to achieve a viable pregnancy.

Keywords: Iatrogenic vesico-uterine fistula, Cyclical haematuria, Transabdominal fistulectomy.

Résumé

Une mariée sant enfant de trente ans avait en une myomectomie difficile faite pour un médicin generaliste un an avant sa presentation. Deux mois après l' operation elle avait en ses rigle mais avec une haematurie totale sans douleur. Cette combinaison a continué pendant neuf mis avant que le médicin de la famille la référè chez un urologie.

La travail urologique a révélé un fistule vesico- uterine latrogenique mais les comprosantes n' ètaient pas consistent avec ceux du syndrome de fistule vesico-uterine.

Une fistulectomie transabdoménale n'a pas seulement controle l' haematurie mais elle a aussi la patiente d'avoir une grossesse viable.

West African Journal of Medicine Vol.21(4) 2002: 341-342
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eISSN: 0189-160X