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. 2007 Sep 27:1:105.
doi: 10.1186/1752-1947-1-105.

The first case of vesico-vaginal fistula in a patient with primary lymphoma of the bladder - a case report

David A Evans  1 , Andrew T Moore
Affiliations

The first case of vesico-vaginal fistula in a patient with primary lymphoma of the bladder - a case report

David A Evans et al. J Med Case Rep. .

Abstract

Background: Primary lymphoma of the bladder is a rare condition with less than 100 cases reported in the literature.

Case presentation: Here we present the case of a 64 year old woman with a 9 month history of haematuria, frequency, urinary incontinence and weight loss. Cystoscopy revealed a solid tumour throughout the whole bladder wall and a vesico-vaginal fistula. This was confirmed on CT scan which also showed no other organ involvement and bilateral hydronephrosis. Trans urethral biopsies taken at cystoscopy revealed Non-Hodgkin's Lymphoma. The patient had a nephrostomy inserted and is currently receiving a course of chemotherapy.

Conclusion: We believe this is the first documented case of primary bladder lymphoma causing a fistula and therefore we suggest that lymphoma should be included in the differential for any patient with a fistula involving the bladder.

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Figures

Figure 1
Figure 1
CT image showing thickened bladder wall with minimal lumen.
Figure 2
Figure 2
CT post chemotherapy showing relatively normal pelvic architecture.
See this image and copyright information in PMC

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