Korean J Obstet Gynecol.
2009 Dec;52(12):1322-1325.
A case of ureterouterine fistula as a complication of cesarean section
- Affiliations
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- 1Department of Obstetrics and Gynecology, Chonnam National University Medical School, Gwangju, Korea. tbsong@chonnam.ac.kr
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.
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