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Endoscopic management of a chronic ureterocutaneous fistula using cyanoacrylic glue.

Omar M, Abdulwahab-Ahmed A, El Mahdey Ael D - Cent European J Urol (2014)

Bottom Line: A female aged 33 presented to our facility with a ureterocutaneous fistula after surgery.We used a retrograde endoscopic approach for the instillation of 2 ml of sealant into the ureteral lumen to seal the ureter and fistulous tract.The fistulous opening healed spontaneously a week after the procedure, and the patient remained dry and symptom free for 5 months following the procedure.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Menofya University, Egypt.

ABSTRACT
Ureterocutaneous fistula is a rare complication of renal surgery. Cyanoacrylate glue is a tissue adhesive, used primarily for the endoscopic control of bleeding from gastric varices. A female aged 33 presented to our facility with a ureterocutaneous fistula after surgery. We used a retrograde endoscopic approach for the instillation of 2 ml of sealant into the ureteral lumen to seal the ureter and fistulous tract. The fistulous opening healed spontaneously a week after the procedure, and the patient remained dry and symptom free for 5 months following the procedure. Endoscopic delivery of cyanoacrylate sealant was a feasible and effective way in treating a ureterocutaneous fistula in our patient.

No MeSH data available.


Related in: MedlinePlus

A photo showing the skin opening of the ureterocutaneous fistula.
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Figure 0002: A photo showing the skin opening of the ureterocutaneous fistula.

Mentions: A female patient aged 33 years presented to our facility with a urine leak from the left flank of an old scar overlying a swelling (Figure 1). The condition started after an eventful Cesarean Section (CS). The procedure was complicated by severe post–operative bleeding resulting in an exploratory laparotomy 48 hours after the CS. During the exploration, she had a hysterectomy for the uncontrollable uterine bleeding and also a resection and anastomosis for the small bowel perforation. Following the procedure, she endured recurrent left loin pain over a period of 6 months, but failed to seek medical advice until she went to a local hospital and had a simple left nephrectomy performed for a symptomatic, non–functioning kidney as mentioned in the postoperative specimen report. Three months later she developed left loin swelling and a urine leak from an opening on the nephrectomy scar (Figure 2); her reasons for presenting at our facility.


Endoscopic management of a chronic ureterocutaneous fistula using cyanoacrylic glue.

Omar M, Abdulwahab-Ahmed A, El Mahdey Ael D - Cent European J Urol (2014)

A photo showing the skin opening of the ureterocutaneous fistula.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4310886&req=5

Figure 0002: A photo showing the skin opening of the ureterocutaneous fistula.
Mentions: A female patient aged 33 years presented to our facility with a urine leak from the left flank of an old scar overlying a swelling (Figure 1). The condition started after an eventful Cesarean Section (CS). The procedure was complicated by severe post–operative bleeding resulting in an exploratory laparotomy 48 hours after the CS. During the exploration, she had a hysterectomy for the uncontrollable uterine bleeding and also a resection and anastomosis for the small bowel perforation. Following the procedure, she endured recurrent left loin pain over a period of 6 months, but failed to seek medical advice until she went to a local hospital and had a simple left nephrectomy performed for a symptomatic, non–functioning kidney as mentioned in the postoperative specimen report. Three months later she developed left loin swelling and a urine leak from an opening on the nephrectomy scar (Figure 2); her reasons for presenting at our facility.

Bottom Line: A female aged 33 presented to our facility with a ureterocutaneous fistula after surgery.We used a retrograde endoscopic approach for the instillation of 2 ml of sealant into the ureteral lumen to seal the ureter and fistulous tract.The fistulous opening healed spontaneously a week after the procedure, and the patient remained dry and symptom free for 5 months following the procedure.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Menofya University, Egypt.

ABSTRACT
Ureterocutaneous fistula is a rare complication of renal surgery. Cyanoacrylate glue is a tissue adhesive, used primarily for the endoscopic control of bleeding from gastric varices. A female aged 33 presented to our facility with a ureterocutaneous fistula after surgery. We used a retrograde endoscopic approach for the instillation of 2 ml of sealant into the ureteral lumen to seal the ureter and fistulous tract. The fistulous opening healed spontaneously a week after the procedure, and the patient remained dry and symptom free for 5 months following the procedure. Endoscopic delivery of cyanoacrylate sealant was a feasible and effective way in treating a ureterocutaneous fistula in our patient.

No MeSH data available.


Related in: MedlinePlus