A case of ureterouterine fistula as a complication of cesarean section.
- Author:
Eun Kyoung KIM
1
;
Tae Bok SONG
;
Yoon Ha KIM
;
Hye Yon CHO
;
Jong Woon KIM
;
Chul Hong KIM
;
Moon Kyoung CHO
Author Information
1. Department of Obstetrics and Gynecology, Chonnam National University Medical School, Gwangju, Korea. tbsong@chonnam.ac.kr
- Publication Type:Case Report
- Keywords:
Ureterouterine fistula;
Cesarean section
- MeSH:
Adult;
Cesarean Section;
Female;
Fistula;
Gynecologic Surgical Procedures;
Humans;
Pregnancy;
Ureter;
Vaginal Discharge
- From:Korean Journal of Obstetrics and Gynecology
2009;52(12):1322-1325
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ureteral injury is usually iatrogenic in origin, in particular as a result of laparoscopic or gynecological surgery. Ureterouterine fistula constitute a rare subset of iatrogenic genitourinary fistulas. The most common presentation of ureterouterine fistula is in women who have had a cesarean section. The management options include conservative therapy (spontaneous healing), endourologic (stented repair) or open surgical operation (ureteroneocystostomy or ureteroureterostomy). Herein, we report on a case of ureterouterine fistula in a 33-year-old woman who underwent a cesarean section. The 17th day after the operation, she complained watery vaginal discharge. Clinical and urographic assessments revealed an iatrogenic ureterouterine fistula and an ureteroneocystostomy was performed after 3 months.
