An Unusual Case of Uterovesical Polyp in a Patient Following Repeated Caesarean Section

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  •   Okwudili C. Amu

  •   Emmanuel A. Affusim

  •   Ugochukwu U. Nnadozie

  •   Balantine U. Eze

Abstract

NE is a 36yr old petty trader who has had four previous caesarean sections. She went for her routine abdominal ultrasonography at 36weeks of her fifth pregnancy and an incidental posterior bladder polypoid mass was found with a normal singleton fetus. Patient declined cystoscopy but accepted exploration of bladder at same time with a caesarean section.  At Surgery, a polyp was found arising from the lower uterine segment traversing the thin posterior bladder wall into the bladder. The polyp was carefully dissected out and separated from bladder. Bladder and uterus were repaired, and patient had uneventful recovery. 


Keywords: Bladder exploration, repeated caesarean section, uterovesical polyp, Youssef syndrome

References

U. Dilek, G. Ozlem, K. Sefa, O. Arzu, U. Mustafa, and M. Tamer, “Muitiple repeat caesarean section: Is it safe?,” European journal of obst. &Gynae and reproductive biology, vol. 19, pp. 171-175, 2005.

B. A. Gedik, A. Akyol, B. Bingol, D. Cakmak, A. Sargin, R. Uncu, and Y. Ceylan, “Multiple repeated caesarean deliveries: operative complications in the fourth and fifth surgeries in urgent and elective cases,” Taiwan J Obstet Gynecol, vol. 49, pp. 425-431, 2010.

J. T. Mutihir, O. Amu, and H. Liman, “Successful repair of iatrogenic cyclical menouria: A case report,” Nigerian journal of clinical practice, vol. 13, pp. 344-346, 2010.

G. N. Cruz, Q. A. Linares, R. C. Cuesta, R. L. Clemente, and C. A. Castaneda, “Bladder endometriosis in a patient with caesarean history,” Arch Esp. Urol, vol. 55, pp. 194-197, 2002.

A. D. Youssef, “Menouria following lower segment caesarean section: A syndrome,” American Journal of Obstetrics and Gynaecology. vol. 73, pp. 759-767, 1957.

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How to Cite
Amu, O. C., Affusim, E. A., Nnadozie, U. U., & Eze, B. U. (2021). An Unusual Case of Uterovesical Polyp in a Patient Following Repeated Caesarean Section. European Journal of Medical and Health Sciences, 3(6), 5–7. https://doi.org/10.24018/ejmed.2021.3.6.1049