case_images: PMC10797169_01
case_images: Contrast passing through the two cavities (CT, axial plane). CT, computed tomography.
case_images: whr.2023.0121_figure1.jpg
case_images: PMC10797169_01_whr.2023.0121_figure1.jpg
case_images: f1
case_images: Abdominal-pelvic computed tomography (CT) with contrast was performed, which showed the presence of a communication between the bladder and the uterus, with contrast passing from the bladder to the uterus and vagina (Figs. 1 and 2).
case_images: Contrast in the uterine cavity (CT, axial plane).
case_images: whr.2023.0121_figure2.jpg
case_images: PMC10797169_01_whr.2023.0121_figure2.jpg
case_images: f2
case_images: Abdominal-pelvic computed tomography (CT) with contrast was performed, which showed the presence of a communication between the bladder and the uterus, with contrast passing from the bladder to the uterus and vagina (Figs. 1 and 2).
case_images: Vycril sutures on the uterus, passed also through the bladder wall.
case_images: whr.2023.0121_figure3.jpg
case_images: PMC10797169_01_whr.2023.0121_figure3.jpg
case_images: f3
case_images: After a Pfannenstiel incision and entering the peritoneal cavity, an inflamed parietal and visceral peritoneum, a normal-sized uterus (24 days postpartum), a normal appearance of the ovaries on both sides, a normal appearance of the fallopian tubes with tubal ligations on both sides, an ascending urinary bladder adherent to the anterior surface of the uterus (Fig. 3), on the median line, with inflammatory edema at this level and with multiple Vycril sutures on the uterus, which were passed also through the bladder wall (Fig. 3), were revealed.
case_images: The vesicouterine fistula.
case_images: whr.2023.0121_figure4.jpg
case_images: PMC10797169_01_whr.2023.0121_figure4.jpg
case_images: f4
case_images: Dissection of the posterosuperior bladder wall and anterior uterine wall was performed, highlighting the fistula (Fig. 4), followed by separation of the bladder wall from the uterine wall (Fig. 5), its excision along with the inflamed margins of the fistula at both the bladder and uterine levels.
case_images: Absorbable sutures objectified passing through the uterine and bladder walls.
case_images: whr.2023.0121_figure6.jpg
case_images: PMC10797169_01_whr.2023.0121_figure6.jpg
case_images: f6
case_images: At the level of the fistula, numerous absorbable sutures (Vycril) were objectified, which passed through the uterine and bladder walls (Fig. 6), and were extracted.