Ureterouterine Fistula Complicating Primary Caesarean Section In A Grandmultiparous Woman

Abstract

Most urinary fistulae of obstetric origin involve the bladder, the ureter being rarely injured1. Obstetric ureteric injuries occur most commonly following emergency Caesarean section2, and may lead to ureterouterine fistula, a complication that usually manifests two to three weeks post-operation and may pose diagnostic and therapeutic difficulties1,3. Ureterouterine fistulae are rare, accounting for 1.6% of all urinary fistulae of obstetric origin1,3. They have also been reported in association with cervical dilatation and endometrial curettage, and ureteric stones4,5. A case is presented of a woman with ureterouterine fistula that resulted from emergency Caesarean section performed
for obstructed labour and fetal distress.

Ebonyi Medical Journal Vol. 6 (2) 2007: pp. 110-113