PMC6220400_01
Cystoscopic view of two vesicouterine fistula (VUF) orifices in the posterior bladder wall.
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The 2-month postoperative cystoscopy depicted 2 fistula orifices in the posterior bladder wall (Figure 1).
Transvaginal ultrasound revealing the presence of two vesicouterine fistulas.
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Vaginal ultrasound depicted two fistulas between uterus and bladder (2.05 and 0.42 cm in length) (Figure 2).
Sagittal view of contrast-enhanced CT scan demonstrating the connection between bladder and uterus.
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Moreover, contrast-enhanced computed tomography (CT) scan of the lower abdomen demonstrated the presence of a VUF (Figure 3).
Intraoperative view of uterus, bladder, excised VUF tract, and catheterized ureteral orifices with ureteral stents left for cutaneous externalization.
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The ureteral orifices were catheterized and the open-ended straight ureteral stents were left aside prior to externalization (Figure 4).
Retrograde cystography image (bladder X-ray) after instillation of iopromide solution (Ultravist ), revealing bladder integrity with no leakage.
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Retrograde cystography was given at 1 month, revealing bladder integrity without leakage (Figure 5).