RESUMO
PIP: The occurrence of ureteral fistulas as a complication of obstetrics is very rare, mostly occurring in developing countries. Only 2 cases of ureterouterine fistulas following dilation and curettage (D & C) have been reported. A 3rd case is reported in this paper. Diagnosis was made by an excretory urogram (IVP). After D & C the patient had hemorrhaged profusely and the IVP showed prominent calicectasis with hydronephrosis in the right kidney. After clinical stabilization, treatment of the pyelonephritis and evaluation of the bleeding disorder, a right percutaneous nephrostomy tube was inserted and vaginal drainage of urine ceased. Later the patient was hospitalized for an elective repair of the ureterouterine fistula. Right ureteroneocystosomy with a psoas hitch was performed to bridge th gap of the ureter to the bladder.^ieng
