Uretero-fallopian fistula after gynecological surgery for endometriosis: a case report

The increasing use of videolaparoscopy for the complete excision of endometriotic lesions and restoration of pelvic anatomy has helped improve long-term outcomes. However, risks remain, including rare but significant complications such as salpingoureteral fistulas. Early diagnosis using imaging methods enables adequate treatment and reduces the risk of new complications. In this report, we present a case of uretero-fallopian fistula following gynecological surgery for the resection of endometriotic lesions, with intraoperative inadvertent ureteral injury. This case report aimed to highlight the importance of diagnostic imaging in postoperative complications of gynecological surgeries for endometriosis, especially if inadvertent injuries occur during the procedure, and to guide the medical community in suspecting and addressing this condition.

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Publication Details

Journal
Einstein (São Paulo)
Published
2025-01-01
DOI
https://doi.org/10.31744/einstein_journal/2025rc1294
Primary Topic
Ureteral procedures and complications
Type
article
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article

Uretero-fallopian fistula after gynecological surgery for endometriosis: a case report

Flavia Mansur Starling, Maria Helena Naves Inácio Pedroso, Marcela Caetano Vilela Lauar, Gabriela Caetano Vilela Lauar et al.
Einstein (São Paulo)
Ureteral procedures and complications
article

Uretero-fallopian fistula after gynecological surgery for endometriosis: a case report

Flavia Mansur Starling, Maria Helena Naves Inácio Pedroso, Marcela Caetano Vilela Lauar, Gabriela Caetano Vilela Lauar, Cinthia Callegari Barbisan
article en

Abstract

The increasing use of videolaparoscopy for the complete excision of endometriotic lesions and restoration of pelvic anatomy has helped improve long-term outcomes. However, risks remain, including rare but significant complications such as salpingoureteral fistulas. Early diagnosis using imaging methods enables adequate treatment and reduces the risk of new complications. In this report, we present a case of uretero-fallopian fistula following gynecological surgery for the resection of endometriotic lesions, with intraoperative inadvertent ureteral injury. This case report aimed to highlight the importance of diagnostic imaging in postoperative complications of gynecological surgeries for endometriosis, especially if inadvertent injuries occur during the procedure, and to guide the medical community in suspecting and addressing this condition.

Einstein (São Paulo)Vol. 23
Beneficência Portuguesa de São Paulo (BR)
Good health and well-being
Openalex Percentile: Top 82%
Ureteral procedures and complications
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