Uretero-vesico-cervical fistula following a caesarean section: a unique case report.

Published

Journal Article (Review)

A unique combined fistula involving simultaneously the bladder, ureter, and cervix following cesarean section is described. Evaluation, management, and review of the literature regarding this rare and challenging case are reported. This unique case report emphasizes the potential complexity of iatrogenic genitourinary fistulae, suggesting that these might have unexpected morphology and present with multiple fistulous components. It has been demonstrated that concomitant ureteral involvement is estimated to complicate at least 10 % of vesico-vaginal fistulae. Thus, increased awareness of the possibility of complex iatrogenic fistulae and precise evaluation of the upper urinary tract are necessary to accurately define the extent of all fistulous tracts during the initial evaluation. This in turn may enable tailored management of these challenging cases. Moreover, in the case of surgical treatment, an accurate initial definition of fistula morphology may enable a single-stage reconstructive procedure sparing additional interventions and avoiding any potential complications.

Full Text

Cited Authors

  • Tsivian, M; Tsivian, M; Sidi, AA; Tsivian, A

Published Date

  • November 2012

Published In

Volume / Issue

  • 23 / 11

Start / End Page

  • 1639 - 1641

PubMed ID

  • 22527547

Pubmed Central ID

  • 22527547

Electronic International Standard Serial Number (EISSN)

  • 1433-3023

International Standard Serial Number (ISSN)

  • 0937-3462

Digital Object Identifier (DOI)

  • 10.1007/s00192-012-1748-5

Language

  • eng