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Ureterouterine fistula post caesarean section: a case report

BACKGROUND: Ureteric injury is usually iatrogenic in origin, in particular as a result of laparoscopic or gynaecological surgery. Of those possible complications of ureteric injury, uretero-uterine fistulae are a rarity. The most common presentation of uretero-uterine fistulae is in women who have h...

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Detalles Bibliográficos
Autores principales: Lanary, Katherine A, Hashim, Hashim, Iacovou, John
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2576183/
https://www.ncbi.nlm.nih.gov/pubmed/18937851
http://dx.doi.org/10.1186/1757-1626-1-253
Descripción
Sumario:BACKGROUND: Ureteric injury is usually iatrogenic in origin, in particular as a result of laparoscopic or gynaecological surgery. Of those possible complications of ureteric injury, uretero-uterine fistulae are a rarity. The most common presentation of uretero-uterine fistulae is in women who have had a caesarean section. CASE: We present the case of a 35 year old woman who presented with continuous vaginal discharge three weeks after undergoing caesarean section. CONCLUSION: Management of ureterouterine fistulae aims to conserve renal function and restore ureteral integrity. The relative rareity of such fistulae however means that there are no clear guidelines on their management. The resolution of this case and general management of uretero-uterine fistulae are discussed.