A case of ureterouterine fistula as a complication of cesarean section.

Kim, Eun Kyoung; Song, Tae Bok; Kim, Yoon Ha; Cho, Hye Yon; Kim, Jong Woon; Kim, Chul Hong; Cho, Moon Kyoung

Case Report

Korean Journal of Obstetrics & Gynecology 2009;52(12):1322-1325.
Published online December 1, 2009.

A case of ureterouterine fistula as a complication of cesarean section.

Eun Kyoung Kim, Tae Bok Song, Yoon Ha Kim, Hye Yon Cho, Jong Woon Kim, Chul Hong Kim, Moon Kyoung Cho

Department 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.

Key Words: Ureterouterine fistula, Cesarean section