PMC5220462_01
Ultrasound images demonstrate (a) a fetus in the mother's bladder and (b) the fistulous tract between the cavities of the uterus and bladder.
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The fetus in the cavity of the urinary bladder was detected at ultrasound examination (Figure 1).
Images obtained at cystoscopy. ((a) and (b)) a dead fetus in the bladder cavity and the fetus' arms are visualized (arrows). (c) A mouth of fistula from the bladder side.
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On 15 December 2015 the patient underwent cystoscopy, which revealed in the cavity of the urinary bladder a dead fetus, embryonic vesicle, and fragments of the umbilical cord (Figure 2).
(a) The stage of fetal removal from the bladder cavity. (b) The dead fetus with signs of autolysis.
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The body of macerated fetus was removed from the bladder cavity along with fetal membranes with clear signs of autolysis (Figure 3).
Intraoperative images. (a) View of the fistulous tract from the side of the bladder (arrow). (b) Separation of the bladder (white arrow) from the fistulous tract (black arrow).
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The bladder was circumferentially dissected away from the uterus around the fistulous tract (O'Connor's technique) (Figure 4).