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KMID : 0358420090520121322
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Korean Journal of Obstetrics and Gynecology
2009 Volume.52 No. 12 p.1322 ~ p.1325
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A case of ureterouterine fistula as a complication of cesarean section
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Kim Eun-Kyoung
Song Tae-Bok
Kim Yoon-Ha
Cho Hye-Yon
Kim Jong-Woon
Kim Chul-Hong
Cho Moon-Kyoung
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Abstract
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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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KEYWORD
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Ureterouterine fistula, Cesarean section
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