Fetus in bladder
A 29-year-old female, with 2 living children, underwent medical termination of pregnancy at 17th week of gestation in her native village. The patient did not have any medical records and did not know the method of termination adopted by the village doctor. She presented to our hospital the next day with complaints of gross hematuria and pain abdomen. On examination, her abdomen was soft and non-tender. Previous lower-segment Cesarean section (LSCS) scar was noted. Ultrasonogram abdomen showed a dead fetus of approximately 17 weeks in the bladder []. All other routine investigations were within normal limits. Cystoscopy showed dead fetus in the urinary bladder with a wide vesicouterine fistula 2 cm proximal to trigone in the posterior wall of bladder [].\nThe abdomen was opened by a Pfannensteil incision. Cystotomy was performed and the dead fetus was removed. Both the anterior wall of the uterus and the posterior wall of the bladder were closed with absorbable sutures with omental interposition. Ligation of bilateral fallopian tubes was performed. The post-operative period was uneventful and there was no urinary incontinence after catheter removal.