Published in:
Open Access
01-12-2007 | Case report
The first case of vesico-vaginal fistula in a patient with primary lymphoma of the bladder – a case report
Authors:
David A Evans, Andrew T Moore
Published in:
Journal of Medical Case Reports
|
Issue 1/2007
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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.