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Immediate ureterovaginal fistula secondary to oocyte retrival-a case report

MILTON BERGER, ANGELA MARCON D AVILA, HELENA VON EYE CORLETA, MARCELO MORETTO

Fertility and Sterility, v. 90, n. 5, p. 1-3, 2008.

Motivo: Produção Corpo Clínico

Setor HMV: Nucleo Reprodução Humana

Área da saúde: Mastologia

Resumo: OBJECTIVE: To report a case of ureterovaginal fistula secondary to transvaginal oocyte retrieval (TVOR). DESIGN: Case report. SETTING: IVF Center IN a private hospital. PATIENT(S): A 31-year-old woman presented immediately after TVOR with right lower abdominal pain with irradiation to the suprapubic area and vaginal discharge. INTERVENTION(S): Vaginal examination, creatinine dosage in plasma and vaginal discharge, excretory urography. A double-J catheter was inserted under general anesthesia. MAIN OUTCOME MEASURE(S): Clinical follow-up. RESULT(S): Vaginal leakage ceased a few hours after catheter insertion. Transfer of two embryos was performed 3 days after TVOR, but no pregnancy occurred. The double-J catheter was removed 21 days after its placement. Imaging studies done 6 weeks later demonstrated a normal urinary tract morphology. CONCLUSION(S): Given the elective nature of TVOR and IVF, patients should be informed about all potential complications, including ureterovaginal fistula.

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