Vesicouterine fistula following Cesarean delivery-ultrasound diagnosis and surgical management

2005 ◽  
Vol 26 (2) ◽  
pp. 183-185 ◽  
Author(s):  
M. Alkatib ◽  
A. V. M. Franco ◽  
M. M. Fynes
Keyword(s):  
Cesarean Delivery ◽  
Surgical Management ◽  
Ultrasound Diagnosis ◽  
Vesicouterine Fistula

scholarly journals Conservative surgical management of immediate post-caesarean uterine dehiscence and pelvis abscess due to proteus mirabilis infection: a rare complication of puerperal endomyometritis

2021 ◽  
Vol 10 (7) ◽  
pp. 2895
Author(s):  
Chitra Thyagaraju ◽  
Madhuri Makam S. ◽  
Deepthi Yedla ◽  
Dasari Papa
Keyword(s):  
Cesarean Delivery ◽  
Surgical Management ◽  
Rare Complication ◽  
Young Patients ◽  
Uterine Cavity ◽  
Exploratory Laparotomy ◽  
High Grade Fever ◽  
Suction Drain ◽  
Emergency Cesarean ◽  
Uterine Dehiscence

Cesarean delivery is the most commonly performed major abdominal operation in women with prevalence ranging from 12% in public sectors to 28% in private sectors in India (DLHS-3 survey). Parallel to this, the complications of surgery are increased. Among these complications, uterine dehiscence and pelvic hematoma with abscess collection is rare but serious complication which might end in hysterectomy. We hereby describe the conservative surgical management of a case of infected uterine incisional necrosis and dehiscence after primary cesarean delivery. We encountered a 25-years-old woman presenting to our emergency department (ED) with severe suprapubic pain and high-grade fever. She had an emergency cesarean delivery performed 14 days prior to presentation due to non-reassuring fetal heart rate. At the ED, ultrasonography revealed collection with septation around uterus with communication into uterine cavity. CT scan of pelvis was ordered and showed an intraperitoneal collection anterior to the uterus at the level of the uterine cesarean scar. Exploratory laparotomy showed a uterine rupture at the previous incision site. We performed resection of necrotic edges, peritoneal lavage, approximation of uterine edges with separate interrupted sutures, placement of a suction drain in the cul-de-sac. During postoperative follow up, patient was stable with no symptoms or signs of uterine/pelvic infection. Conservative management by drainage and resection of necrotic edges in addition to intravenous antibiotics may be considered as an option before resorting to hysterectomy in selected young patients. 

Large-for-Gestational-Age Ultrasound Diagnosis and Risk for Cesarean Delivery in Women With Gestational Diabetes Mellitus

2015 ◽  
Vol 126 (5) ◽  
pp. 978-986 ◽  
Author(s):  
Christina M. Scifres ◽  
Maisa Feghali ◽  
Tina Dumont ◽  
Andrew D. Althouse ◽  
Paul Speer ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Cesarean Delivery ◽  
Gestational Age ◽  
Ultrasound Diagnosis ◽  
Large For Gestational Age

scholarly journals Incidentally diagnosed post-cesarean vesicouterine fistula (Youssef’s syndrome)

2015 ◽  
Vol 9 (11-12) ◽  
pp. 913 ◽  
Author(s):  
Mehmet Zeynel Keskin ◽  
Salih Budak ◽  
Ertan Can ◽  
Yusuf Ozlem Ilbey
Keyword(s):  
Renal Transplant ◽  
Cesarean Delivery ◽  
Rare Occurrence ◽  
Vesicouterine Fistula ◽  
Youssef Syndrome

Vesicouterine fistula (VUF) is a very rare occurrence and is estimated to occur in only 1–4% of all genitourinary fistulas; 90% of cases are Youssef syndrome, which is accompanied by amenorrhea and cyclic hematuria (menouria). In this article, a renal transplant donor who was incidentally diagnosed with Youssef syndrome 20 years after a second cesarean delivery.

Surgical Management of Patients With 22q11.2 Deletion Syndrome

2019 ◽  
Vol 4 (5) ◽  
pp. 857-869
Author(s):  
Oksana A. Jackson ◽  
Alison E. Kaye
Keyword(s):  
Surgical Management ◽  
Preoperative Evaluation ◽  
Preoperative Assessment ◽  
22Q11.2 Deletion Syndrome ◽  
Deletion Syndrome ◽  
22Q11.2 Deletion ◽  
Surgical Decision ◽  
Obstructive Sleep ◽  
Spine Abnormalities ◽  
Speech Assessment

Purpose The purpose of this tutorial was to describe the surgical management of palate-related abnormalities associated with 22q11.2 deletion syndrome. Craniofacial differences in 22q11.2 deletion syndrome may include overt or occult clefting of the palate and/or lip along with oropharyngeal variances that may lead to velopharyngeal dysfunction. This chapter will describe these circumstances, including incidence, diagnosis, and indications for surgical intervention. Speech assessment and imaging of the velopharyngeal system will be discussed as it relates to preoperative evaluation and surgical decision making. Important for patients with 22q11.2 deletion syndrome is appropriate preoperative screening to assess for internal carotid artery positioning, cervical spine abnormalities, and obstructive sleep apnea. Timing of surgery as well as different techniques, common complications, and outcomes will also be discussed. Conclusion Management of velopharyngeal dysfunction in patients with 22q11.2 deletion syndrome is challenging and requires thoughtful preoperative assessment and planning as well as a careful surgical technique.

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