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Journal of Medical Case Reports
Published in: Journal of Medical Case Reports 1/2007

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.
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Metadata
Title
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
Publication date
01-12-2007
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2007
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-1-105

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