[Pyelovenous fistula revealed by repeated thromboembolic events after emergency peripartum hysterectomy].

Gynecol Obstet Fertil

Service d'urologie, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 09, France; Université Joseph-Fourier, BP 53, 38041 Grenoble cedex 09, France.

Published: April 2014

We report the case of a 51-year old woman presenting pyelovenous fistula revealed by recurrent and serious thromboembolic events after ureteral ligation during emergency peripartum hysterectomy. Imaging reported a complete left ureteral obstruction, a fistula between the upper calix and the left renal vein and a renal function preserved. Uretero-vesical reimplantation was performed. The patient was well doing after 12 months. The authors wonder if pyelovenous fistula is responsible for prothrombotic state and maintaining renal function.

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http://dx.doi.org/10.1016/j.gyobfe.2013.09.003DOI Listing

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