Uretero-uterine fistula following Manual Vacuum Aspiration for Incomplete abortion: A rare case report

Genitourinary fistulas are a well-recognized complication of various gynecological, obstetrical, and endourological interventions. The incidence of uretero-uterine fistula is very rare compared to other genitourinary fistulas. Few cases are reported in literature regarding the uretero- uterine fistu...

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Bibliographic Details
Published in:Radiology case reports 2024-09, Vol.19 (9), p.3912-3914
Main Authors: Adhikari, Kapil, Pandit, Mamata, Lamichhane, Samiksha, Pandit, Monika, Budthapa, Jwala, Thapa, Baburam Dixit, Paudel, Upesh
Format: Article
Language:English
Subjects:
Abortion
Case Report
CT urography
Fistula
Obstetrics
Ureteric injury
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Summary:Genitourinary fistulas are a well-recognized complication of various gynecological, obstetrical, and endourological interventions. The incidence of uretero-uterine fistula is very rare compared to other genitourinary fistulas. Few cases are reported in literature regarding the uretero- uterine fistula following manual vacuum aspiration of retained product of placenta. We report a case of 28 year multi-parous women who had presented with complain of involuntary passage of urine following manual vacuum aspiration for retained product of conception. Common tests for suspicion of uretero-uterine fistula include cystoscopy, triple swab test, and CT urography. Our patient was diagnosed in CT urography and was managed by exploratory laparotomy with end-to-end anastomosis of the right ureter, DJ stenting, and repair of a uterine perforation. Due to relatively rare incidence of this condition, there has not been a specific guideline for management. A multimodality and multidisciplinary approach have been proposed for the management of uretero-uterine fistulas.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2024.06.017