Obstetric ureterouterine fistula: A case report

Lazarevski, M; Badiev, B

doi:10.1016/s0002-9378(96)70628-2

Cited by 15 publications

(5 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most patients have no prior history of endometriosis, and symptoms may mimic postoperative hernias [1,2]. Fistulae involving the uterus, such as uterocutaneous, vesicouterine, ureterouterine and uterine-to-colon fistulae, are also rare and their pathogenesis involves postpartum or postoperative complications as well as endometriosis [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Endometriotic Uterocutaneous Fistula after Cesarean Section

Dragoumis

Mikos

Zafrakas

et al. 2004

Gynecol Obstet Invest

View full text Add to dashboard Cite

Endometriosis outside the pelvis is rare and most cases occur in surgical scars after operations involving the female genital tract. Fistulae involving the uterus are also very rare, usually being the result of postpartum and postoperative complications. In the present report, a case of a 44-year-old patient with an endometriotic uterocutaneous fistula is described. The patient presented 6 years after her fourth cesarean section with a painful nodule on the cesarean scar, which was bleeding during menstruation. The lesion extended to the uterine fundus, connecting the endometrial cavity with the skin. This is merely the second case of a uterocutaneous fistula to be reported in the literature and the first case developed on grounds of endometriosis.

show abstract

Section: Introductionmentioning

confidence: 99%

Endometriotic Uterocutaneous Fistula after Cesarean Section

Dragoumis

Mikos

Zafrakas

et al. 2004

Gynecol Obstet Invest

View full text Add to dashboard Cite

show abstract

“…18–21 Congenital ureteral fistulae connected to the male or the female reproductive tracts are also called ureteral ectopia and their etiology is unclear in most patients. 22–25 In many male HC2;ROSA DTA/+ mutants, the CND was missing while the ureteral bud reached the MM to initiate nephrogenesis. In such mutants, the UB failed to separate from the WD, resulting in aberrant connection of their derivatives, the ureter and the male reproductive tract.…”

Section: Discussionmentioning

confidence: 99%

Cell Death Serves as a Single Etiological Cause of a Wide Spectrum of Congenital Urinary Tract Defects

et al. 2011

View full text Add to dashboard Cite

Purpose We genetically disrupted the Wolffian duct (WD) in mice to study the affected organogenesis processes and to test the hypothesis that cell loss can be the developmental basis for a wide spectrum of congenital anomalies in the kidney and urinary tract. Materials and Methods We use Hoxb7-Cre transgenic lines (HC1 and HC2) to induce diphtheria toxin (DT) production from a ROSADTA allele, disrupting the wolffian duct and derivatives. Results The first set of mutants (HC1;ROSADTA/+) exhibited agenesis of the kidney, ureter, and reproductive tracts. The second set of mutants (HC2;ROSADTA/+) exhibited diverse defects, including renal agenesis/hypoplasia, hydronephrosis, hydroureter, ureter-vas deferens fistulas in males and ureter-oviduct/uterus fistulas in females. The phenotypic differences correspond to the degree of apoptosisinduced caudal truncation of the wolffian duct, which is less severe and more variable in HC2;ROSADTA/+ mice. Whenever the wolffian duct failed to reach the urogenital sinus, the ureter failed to separate from the wolffian duct, suggesting that ureteral migration along the common nephric duct to the cloaca and the subsequent common nephric duct degeneration constitute the only pathway for separating the ureter and WD derivatives. Conclusions The diverse and severe defects observed emphasize the central role of the wolffian duct in providing progenitors and signals for urogenital development. These results also indicate that the quantitative difference in cell deathinduced caudal truncation of the wolffian duct can lead to a wide range of qualitatively distinct defects, and that cell death can serve as a single etiological cause of a wide spectrum of congenital kidney and urinary tract defects.

show abstract

“…Iatrogenic injuries of the ureter and bladder have been described following surgical or gynecological procedures in women with abdominal and pelvic pathology 1 . Uretero‐uterine fistulae following Caesarian section has been reported earlier 2,3 . To our knowledge, this is the first instance of ureteric injury occurring as a complication of D&C.…”

Section: Discussionmentioning

confidence: 99%

Uretero‐uterine fistula following dilatation and curettage

Adhikary

Devasia

Gnanaraj

et al. 2005

Aust NZ J Obst Gynaeco

View full text Add to dashboard Cite

A 22-year-old woman presented with a urinary leak per vaginum for 4 months; she also voided normally. Prior to the onset of her symptoms she had undergone a termination of pregnancy by dilatation and curettage (D&C) at 12 weeks' gestation at another hospital.On the first postoperative day following the procedure, she had developed a urinary leak per vaginum with fever and left flank pain. An intravenous urogram showed a left hydroureteronephrosis with contrast in the vagina. Cystoscopy revealed a normal bladder and, on vaginoscopy, urine was seen leaking from the cervix. A retrograde urogram ( Fig. 1) showed a stricture 3 cm proximal to the ureterovesical junction, where contrast was leaking into a cavity and then delineating the uterus and subsequently the vagina.With a diagnosis of left uretero-uterine fistula, a left ureteric reimplant with psoas hitch was undertaken. The postoperative period was uneventful with complete cessation of the urinary leak. DiscussionIatrogenic injuries of the ureter and bladder have been described following surgical or gynecological procedures in women with abdominal and pelvic pathology. 1 Uretero-uterine fistulae following Caesarian section has been reported earlier. 2,3 To our knowledge, this is the first instance of ureteric injury occurring as a complication of D&C. References1 Meirow D, Moriel EZ, Zilberman M, Farkas A. Evaluation and treatment of iatrogenic ureteral injuries during obstetric & gynecologic operation for nonmalignant condition.

show abstract

Obstetric ureterouterine fistula: A case report

Cited by 15 publications

References 1 publication

Endometriotic Uterocutaneous Fistula after Cesarean Section

Endometriotic Uterocutaneous Fistula after Cesarean Section

Cell Death Serves as a Single Etiological Cause of a Wide Spectrum of Congenital Urinary Tract Defects

Uretero‐uterine fistula following dilatation and curettage

Contact Info

Product

Resources

About