Ureteral injury in an incidental vaginal incision during ce-sarean section

AUTHORS

J Nasouhi 1 , * , A Mahdavi 2 , S Gity 2

1 Assistant Professor of Department of Obstetrics and Gynecology,Shahid Beheshti University of Medical Sciences, [email protected], Tehran, Iran

2 Department of Obstetrics and Gynecology,Shahid Beheshti University of Medical Sciences, Tehran, Iran

How to Cite: Nasouhi J, Mahdavi A, Gity S. Ureteral injury in an incidental vaginal incision during ce-sarean section, Iran Red Crescent Med J. Online ahead of Print ; 9(4):215-216.

ARTICLE INFORMATION

Iranian Red Crescent Medical Journal: 9 (4); 215-216
Article Type: Case Report
Received: January 18, 2007
Accepted: April 22, 2007

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Abstract

Incidental vaginotomy, a potentially severe complication, has occasionally been reported in cesarean sections performed after prolonged second stage labor. There is controversy on the significance of vaginotomy and its consequences in cesarean section. Ureteral injury has been reported as a possible complication of cesarean section. Herein, we present a case of anterior vaginal incision instead of lower uterine segment, where the right ureter had been obstructed by sutures. The injury was detected and corrected during the operation. Thus incidental vaginotomy in cesarean section must be taken seriously and avoided as far as possible. It is also crucial to inspect and preserve the integrity of ureters in such cases.

 

Keywords

Cesarean Vaginotomy Ureter

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