Live fetus inside the urinary bladder: a case report

Detalhes bibliográficos
Autor(a) principal: Gomez,Úrsula Trovato
Data de Publicação: 2019
Outros Autores: Pereira,Pedro Paulo, Cabar,Fábio Roberto, Mesquita,José Luiz Borges de, Francisco,Rossana Pulcineli Vieira
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Einstein (São Paulo)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082019000300502
Resumo: ABSTRACT Vesicouterine fistula is a rare condition. Its incidence, however, has been increasing due to the higher incidence of cesarean sections. The presence of a live fetus inside the bladder who passed through a vesicouterine fistula is an extremely rare situation. We report a case of woman who underwent two previous cesarean sections, was referred to a hospital due to mild pelvic pain and genital bleeding. At the moment, physical examination was normal. Ultrasound scan revealed a gestational sac inserted into the anterior wall of the uterus, with a living fetus of approximately 13 weeks, with active body movement and normal heart rate inside it. The fetal abdomen, around the waist, was stuck at the opening of a vesicouterine fistula, so that the fetal head and trunk were entirely into the bladder cavity, while lower limbs remained at the uterine cavity. Laparotomy was performed, the fistulous tract was excised, the fetus (without heart beating) was removed on opening the bladder, and the uterine cavity was emptied. The defects in the bladder and uterus were repaired. The postoperative period was uneventful. A live fetus inside the urinary bladder is a rare condition the continuation of pregnancy is unlikely and the vesicouterine correction can be made by the time of surgical intervention.
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spelling Live fetus inside the urinary bladder: a case reportAbortionFetusObstetricsPregnancyPregnancy complicationsUrinary fistulaABSTRACT Vesicouterine fistula is a rare condition. Its incidence, however, has been increasing due to the higher incidence of cesarean sections. The presence of a live fetus inside the bladder who passed through a vesicouterine fistula is an extremely rare situation. We report a case of woman who underwent two previous cesarean sections, was referred to a hospital due to mild pelvic pain and genital bleeding. At the moment, physical examination was normal. Ultrasound scan revealed a gestational sac inserted into the anterior wall of the uterus, with a living fetus of approximately 13 weeks, with active body movement and normal heart rate inside it. The fetal abdomen, around the waist, was stuck at the opening of a vesicouterine fistula, so that the fetal head and trunk were entirely into the bladder cavity, while lower limbs remained at the uterine cavity. Laparotomy was performed, the fistulous tract was excised, the fetus (without heart beating) was removed on opening the bladder, and the uterine cavity was emptied. The defects in the bladder and uterus were repaired. The postoperative period was uneventful. A live fetus inside the urinary bladder is a rare condition the continuation of pregnancy is unlikely and the vesicouterine correction can be made by the time of surgical intervention.Instituto Israelita de Ensino e Pesquisa Albert Einstein2019-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082019000300502einstein (São Paulo) v.17 n.3 2019reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.31744/einstein_journal/2019rc4570info:eu-repo/semantics/openAccessGomez,Úrsula TrovatoPereira,Pedro PauloCabar,Fábio RobertoMesquita,José Luiz Borges deFrancisco,Rossana Pulcineli Vieiraeng2019-06-27T00:00:00Zoai:scielo:S1679-45082019000300502Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2019-06-27T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false
dc.title.none.fl_str_mv Live fetus inside the urinary bladder: a case report
title Live fetus inside the urinary bladder: a case report
spellingShingle Live fetus inside the urinary bladder: a case report
Gomez,Úrsula Trovato
Abortion
Fetus
Obstetrics
Pregnancy
Pregnancy complications
Urinary fistula
title_short Live fetus inside the urinary bladder: a case report
title_full Live fetus inside the urinary bladder: a case report
title_fullStr Live fetus inside the urinary bladder: a case report
title_full_unstemmed Live fetus inside the urinary bladder: a case report
title_sort Live fetus inside the urinary bladder: a case report
author Gomez,Úrsula Trovato
author_facet Gomez,Úrsula Trovato
Pereira,Pedro Paulo
Cabar,Fábio Roberto
Mesquita,José Luiz Borges de
Francisco,Rossana Pulcineli Vieira
author_role author
author2 Pereira,Pedro Paulo
Cabar,Fábio Roberto
Mesquita,José Luiz Borges de
Francisco,Rossana Pulcineli Vieira
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Gomez,Úrsula Trovato
Pereira,Pedro Paulo
Cabar,Fábio Roberto
Mesquita,José Luiz Borges de
Francisco,Rossana Pulcineli Vieira
dc.subject.por.fl_str_mv Abortion
Fetus
Obstetrics
Pregnancy
Pregnancy complications
Urinary fistula
topic Abortion
Fetus
Obstetrics
Pregnancy
Pregnancy complications
Urinary fistula
description ABSTRACT Vesicouterine fistula is a rare condition. Its incidence, however, has been increasing due to the higher incidence of cesarean sections. The presence of a live fetus inside the bladder who passed through a vesicouterine fistula is an extremely rare situation. We report a case of woman who underwent two previous cesarean sections, was referred to a hospital due to mild pelvic pain and genital bleeding. At the moment, physical examination was normal. Ultrasound scan revealed a gestational sac inserted into the anterior wall of the uterus, with a living fetus of approximately 13 weeks, with active body movement and normal heart rate inside it. The fetal abdomen, around the waist, was stuck at the opening of a vesicouterine fistula, so that the fetal head and trunk were entirely into the bladder cavity, while lower limbs remained at the uterine cavity. Laparotomy was performed, the fistulous tract was excised, the fetus (without heart beating) was removed on opening the bladder, and the uterine cavity was emptied. The defects in the bladder and uterus were repaired. The postoperative period was uneventful. A live fetus inside the urinary bladder is a rare condition the continuation of pregnancy is unlikely and the vesicouterine correction can be made by the time of surgical intervention.
publishDate 2019
dc.date.none.fl_str_mv 2019-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082019000300502
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.31744/einstein_journal/2019rc4570
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dc.publisher.none.fl_str_mv Instituto Israelita de Ensino e Pesquisa Albert Einstein
publisher.none.fl_str_mv Instituto Israelita de Ensino e Pesquisa Albert Einstein
dc.source.none.fl_str_mv einstein (São Paulo) v.17 n.3 2019
reponame:Einstein (São Paulo)
instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)
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reponame_str Einstein (São Paulo)
collection Einstein (São Paulo)
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