Crochet Patrice, Savoie Pierre-Henri, Agostini Aubert, Zaritsky Eve, Lechevallier Eric, Coulange Christian
Department of Obstetrics and Gynecology, La Conception University Hospital, Marseille, France.
J Minim Invasive Gynecol. 2008 Jan-Feb;15(1):108-9. doi: 10.1016/j.jmig.2007.07.017.
Urinary tract injuries are unfortunate complications of pelvic surgery. These frequently involve the bladder. The incidence of iatrogenic ureteral lesions ranges from 0.05% to 30%. Even though some lesions are observed intraoperatively, most remain undiscovered and reveal themselves later. Fistulas of ureteral origin usually involve the vagina or more rarely the uterus. Uretero-fallopian fistulas are even more rare. We report a case of uretero-fallopian fistula that developed after surgery for endometriosis.
尿路损伤是盆腔手术中不幸的并发症。这些损伤常累及膀胱。医源性输尿管损伤的发生率在0.05%至30%之间。尽管有些损伤在术中被发现,但大多数仍未被发现,随后才显现出来。输尿管源性瘘通常累及阴道,累及子宫则更为罕见。输尿管-输卵管瘘甚至更为罕见。我们报告一例子宫内膜异位症手术后发生输尿管-输卵管瘘的病例。