Fistula between degenerated uterine leiomyoma and the bladder: case report.


Journal Article

Most common reason for the vesicouterine fistula is a cesarean section; no cases were reported of degenerated uterine leiomyoma communicating with the urinary bladder. We report a case of fistulous communication between the degenerated leiomyoma and the bladder. The patient's initial clinical presentation was consistent with recurrent UTI. She underwent multiple examinations including cystoscopy, cystouretrography, retrograde pyeolography, and MRI. The ultimate treatment was an exploratory laparotomy and en-block resection of the bladder wall, fistula tract, and degenerated leiomyoma. Fistula can develop between the bladder and degenerated leiomyoma and could be one of the reasons for the chronic pelvic pain and dysuria.

Full Text

Duke Authors

Cited Authors

  • Fridman, D; Chakraborty, S; Khulpateea, N

Published Date

  • October 2011

Published In

Volume / Issue

  • 22 / 10

Start / End Page

  • 1329 - 1331

PubMed ID

  • 21452002

Pubmed Central ID

  • 21452002

Electronic International Standard Serial Number (EISSN)

  • 1433-3023

Digital Object Identifier (DOI)

  • 10.1007/s00192-011-1414-3


  • eng

Conference Location

  • England