TITLE:
Sonographic appearance of Youssef’s syndrome: A case report and literature review
AUTHORS:
Etedafe P. Gharoro, Ehigha J. Enabudoso, Edafe E. Gharoro
KEYWORDS:
Vesico-Vaginal Fistula; Vesico-Uterine Fistula; Youssef’s Syndrome; Ultrasound Scan; Sonohysterography
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.3 No.7,
August
26,
2013
ABSTRACT: Vesico-vaginal
fistula is still a major problem in the developing world, in particularNigeria.
Vesico-uterine fistula (Youssef’s syndrome) following relief of obstructed
labor by caesarean section is commoner than previously thought. We report a
case of Mrs U.B. a 28-year-old P2+0 with one
living child, who presented with a history of 20 amenorrhea and
infertility of 8 years duration. She had caesarean section to relieve an obstructed
labor with macerated stillbirth in her last pregnancy. As part of her routine
investigation for 20 amenorrhea and infertility, a request for ultrasound
scan was made. Ultrasound pictures are presented and discussed. Standard
diagnostic investigations for Youssef’s syndrome are by cystoscopy, intravenous
urogram and or hysterosalpingography, sonodiagnosis (sonohysterography) is
primarily not resorted. We recommend as a standard investigation tool, Ultrasound scan (Sonodiagnosis) for all patients with Vesicovaginal fistula.