title: [Pyelovenous fistula revealed by repeated thromboembolic events after emergency peripartum hysterectomy].
abstract: We report the case of a 51-year old woman presenting pyelovenous fistula revealed by recurrent and serious thromboembolic events after ureteral ligation during emergency peripartum hysterectomy. Imaging reported a complete left ureteral obstruction, a fistula between the upper calix and the left renal vein and a renal function preserved. Uretero-vesical reimplantation was performed. The patient was well doing after 12 months. The authors wonder if pyelovenous fistula is responsible for prothrombotic state and maintaining renal function.
authors.affiliation: Service d'urologie, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 09, France; Service de gynécologie-obstétrique et médecine de la reproduction, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 09, France.
authors.forename: C
authors.initials: C
authors.lastname: Sauvanaud
authors.affiliation: Service d'urologie, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 09, France.
authors.forename: B
authors.initials: B
authors.lastname: Boillot
authors.affiliation: Service de gynécologie-obstétrique et médecine de la reproduction, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 09, France; Université Joseph-Fourier, BP 53, 38041 Grenoble cedex 09, France. Electronic address: FSergent@chu-grenoble.fr.
authors.forename: F
authors.initials: F
authors.lastname: Sergent
authors.affiliation: Service d'urologie, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 09, France; Université Joseph-Fourier, BP 53, 38041 Grenoble cedex 09, France.
authors.forename: J A
authors.initials: JA
authors.lastname: Long
authors.affiliation: Service de médecine vasculaire, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 09, France; Université Joseph-Fourier, BP 53, 38041 Grenoble cedex 09, France.
authors.forename: G
authors.initials: G
authors.lastname: Pernod
authors.affiliation: Service d'urologie, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 09, France; Université Joseph-Fourier, BP 53, 38041 Grenoble cedex 09, France.
authors.forename: J J
authors.initials: JJ
authors.lastname: Rambeaud
mesh_terms: D004638:Emergency Treatment; D005260:Female; D005402:Fistula / Q000175:diagnosis*; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007431:Intraoperative Complications; D007668:Kidney; D007674:Kidney Diseases / Q000175:diagnosis*; D008875:Middle Aged; D058725:Peripartum Period; D006473:Postpartum Hemorrhage / Q000601:surgery; D011247:Pregnancy; D012082:Renal Veins; D013923:Thromboembolism / Q000209:etiology*; D014513:Ureter / Q000293:injuries* / Q000601:surgery
keywords: Complications de l’hystérectomie d’hémostase; Emergency peripartum hysterectomy complications; Fistule pyéloveineuse; Iatrogenic ureteral ligation; Induced thromboembolic disease; Ligature urétérale iatrogène; Maladie thromboembolique induite; Pyelovenous fistula