Case report

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

David A Evans and Andrew T Moore

Kings Mill Hospital, Mansfield Road, Sutton-In-Ashfield, Nottinghamshire, NG17 4JT, UK

author email corresponding author email

Journal of Medical Case Reports 2007, 1:105doi:10.1186/1752-1947-1-105

Published:	27 September 2007

Abstract

Background

Primary lymphoma of the bladder is a rare condition with less than 100 cases reported in the literature.

Case presentation

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.

Conclusion

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.