Lethal haemorrhage due to erosion of external iliac artery in a patient with ureterovaginal fistula following endometriosis surgery. Issue 4 (December 2019)

• Record Type: Journal Article
• Authors: Widschwendter, Peter; Janni, Wolfgang; Benckendorff, Julian; de Gregorio, Nikolaus
• Is Part Of: Journal of endometriosis and pelvic pain disorders. Volume 11:Issue 4(2019)
• Page Start: 181
• Page End: 184
• Publication Date: 2019-12
• Subjects: Bleeding -- endometriosis -- laparoscopy -- lethal -- ureteric fistula; Endometriosis -- Periodicals; Pelvic pain -- Periodicals; 618.1
• DOI: 10.1177/2284026519872868
• Languages: English
• ISSNs: 2284-0265

Abstract

We present a case report of a patient with laparoscopic surgery of a deep infiltrating endometriosis with a complicative course. In addition to a postoperatively diagnosed ureteral fistula with local inflammation, acute perforation and ultimately lethal bleeding from the adjacent external iliac artery occurred more than 3 weeks after surgery. To the best of our knowledge, a case with the same constellation has not yet been published. A literature review on the rare and comparable complication of a ureteroarterial fistula is discussed in connection with the case.