UTERO-VESICAL FISTULA

An involuting enlarged uterus is again noted with status post LSCS with percutaneous draining catheter in place.

There is interval resolution of intravesical hematoma since prior study

Thickened deformed postero-superior bladder wall is again noted with scarring

Small focal parametrial fluid collection anterior to uterine fundus demonstrating opacification with bladder contrast on delayed scan – suggesting utero-vesical fistula .

*No evidence of intraperitoneal extra vasation of IV contrast in this study. No evidence of free fluid in this study.