Primary adenocarcinoma of the bladder presenting during pregnancy. An unusual case report

Rajan, N.; Karafin, Lester; Batra, Ashok K.

doi:10.1007/bf01901250

Cited by 4 publications

(2 citation statements)

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“…In the reported 17 cases initial diagnosis was made with cystoscopy in nine cases and with ultrasound in eight cases (ultrasound missed the diagnosis in two cases) (Rajan et al, 1996). As, fortunately, the progress of such a lesion is slow, endoscopic resection of the tumour can then be carried out after delivery, as was undertaken in this case.…”

Section: Discussionmentioning

confidence: 87%

“…The normal immunological mechanisms are modified in pregnancy, but these changes do not usually lead to adverse effects on the malignancy. Seventeen cases of bladder cancer in pregnancy have been reported in the English literature (Rajan et al, 1996) and here we report another case. Urological tumours are very uncommon in pregnancy but they represent particular problems in diagnosis and management.…”

Section: Introductionmentioning

confidence: 81%

See 1 more Smart Citation

Bladder cancer in pregnancy

Mitra

Williamson

Bullock

et al. 2003

Journal of Obstetrics and Gynaecology

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fistula. During the repair, we felt that the tissues were easily dissectible, in comparison with our previous experience of fistula repairs. The reason for that could be attributed to the hormonal changes in pregnancy. A vesico-uterine fistula was reported antenatally by Kennedy et al. (1999) where a classical caesarean section was performed at 26 weeks together with excision of the fistulous tract. In our case the repair of the vesico-vaginal fistula was performed at 8 weeks followed by an uneventful pregnancy. The patient was delivered by lower-segment caesarean section at 38 weeks.In a recent review from Nigeria, the average time to presentation was more than 5 years and this may be determined by inadequate access to health care. The time from symptoms to presentation of our patient was 3 years and was identified during a teaching visit of the author to Yemen.The cure rates (closure from the first attempt) of the vesicovaginal fistulae vary from 60 -98% (Hilton, 1997; Clement and Hilton, 2001). In our case the patient experienced full continence after removal of the catheter. It would be interesting to know whether the cure rate in pregnancy is better. ConclusionVesico-vaginal fistula can be repaired successfully in pregnancy. Furthermore, this repair could prevent the potential risk of miscarriage. Further research is needed to find out if repairing fistulae in pregnancy is associated with better outcome.

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Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 81%