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剖宫产术后获得性输尿管-子宫瘘——一种罕见病症。

Acquired post cesarean uretero-uterine fistula - a rare entity.

作者信息

Selvaraj Nivash, Thangarasu Mathisekaran, Prakash Sanjay, Raghavan Deepak, Khakhar Alpa

机构信息

Apollo Main Hospital, Department of Urology, 21, Greams Lane, Off Greams Road, Chennai, Tamilnadu, India.

Apollo Main Hospital, Department of Urogynaecology, 21, Greams Lane, Off Greams Road, Chennai, India.

出版信息

Urol Case Rep. 2020 Jun 20;33:101314. doi: 10.1016/j.eucr.2020.101314. eCollection 2020 Nov.

Abstract

In this contemporary era,ureteric injuries are not uncommon. They are inadvertent and overwhelming complication following pelvic surgeries.We describe a case of Uretero-uterine fistula (UUF) in a 36 year old woman, who underwent repeat lower cesarean section two months earlier, admitted with complaints of paradoxical incontinence of urine and copious watery vaginal discharge. After extensive clinical and radiological evaluations, she underwent robotic bilateral ovary preserving hysterectomy with ureteroneocystostomy (Boari flap and psoas hitch with Double J stenting).

摘要

在当代,输尿管损伤并不罕见。它们是盆腔手术后意外且严重的并发症。我们描述了一例36岁女性的输尿管子宫瘘(UUF)病例,该患者两个月前接受了再次剖宫产,因反常性尿失禁和大量水样阴道分泌物入院。经过广泛的临床和影像学评估后,她接受了保留双侧卵巢的机器人辅助子宫切除术并进行输尿管膀胱吻合术(Boari瓣和腰大肌悬吊加双J管置入)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ea1/7573827/db59a7f53843/gr1.jpg

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