FÍS tuLA veSICOuteRINA CON dOS tRAyeCtOS FIS tuLOSOS. RePORte de uN CASO

A case of vesicouterine fistula in a 39 year-old woman who had been subjected to second segmental cesarean section is re- ported. The fistulous tract was repaired vaginally, but vaginal mu - cous secretion appeared on the third week. Hysterosonography showed contrast medium passage from isthmus to bladder. By laparotomy the uterus was individualized from the bladder, the fistulous tract was removed at the uterine isthmus and closed in two layers. Result after the second surgical intervention was sat - isfactory. The patient was asymptomatic 24 months post surgery.