AI Article Synopsis
- Iatrogenic injuries during emergency C-sections, such as ureteral and colonic injuries, are very rare but can have severe consequences.
- A case report details a 30-year-old woman who suffered from decreased urination after her C-section, leading to the discovery of a blocked ureter and subsequent surgeries to address complications like a colonic injury and infection.
- The situation highlights the importance of early detection and treatment of such injuries, as delayed intervention can significantly worsen patient outcomes.
Article Abstract
Introduction: Iatrogenic concomitant ureteral and colonic injury in emergency cesarean section (C-section) is an exceedingly rare, yet, catastrophic complication and has not been reported to our knowledge.
Case Report: A 30-year-old woman presented with decreased urination for 2 days after a C-section. Ultrasonography showed severe left hydronephrosis and moderate abdominal free fluid. A ureteroscopy revealed a total occlusion of the left ureter, and subsequently, a ureteroneocystostomy was performed. Two days later, the patient was complicated with abdominal distension that necessitated re-exploration. The exploration revealed colonic injury (rectosigmoid), peritonitis, endometritis, and ureteral anastomosis disruption. A colostomy, repair of colonic injury, hysterectomy, and ureterocutaneous diversion were performed. The patient's hospital stay was complicated, with stomal retraction requiring operative revision and wound dehiscence, which was treated conservatively. After 6 months, the colostomy was closed, and the ureter was anastomosed via the Boari-flap procedure.
Conclusion: Injuries to the urinary and gastrointestinal tracts are serious complications of a cesarean section; concurrent involvement is exceedingly rare; however, delayed recognition and intervention can worsen the prognosis.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10153445 | PMC |
| http://dx.doi.org/10.2147/IMCRJ.S407241 | DOI Listing |
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