The first case of vesico-vaginal fistula in a patient with primary lymphoma of the bladder – a case report

• Main Authors: Evans David A, Moore Andrew T
• Format: Article
• Language: English
• Published: BMC 2007-09-01
• Series: Journal of Medical Case Reports
• Online Access: http://www.jmedicalcasereports.com/content/1/1/105

<p>Abstract</p> <p>Background</p> <p>Primary lymphoma of the bladder is a rare condition with less than 100 cases reported in the literature.</p> <p>Case presentation</p> <p>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.</p> <p>Conclusion</p> <p>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.</p>