[Postoperative ureterocolonic fistula: a case report]

Postoperative ureterocolonic fistula is exceptional: only one case has been published over the last 32 years. The authors report a case of postoperative ureterocolonic fistula observed after right hysteroadnexectomy in a 38-year-old woman with a solitary right kidney. This patient initially presented with anuria and fever followed by urine-smelling liquid diarrhoea. In a context of inadequate urological imaging equipment, the diagnosis of ureterocolonic fistula was suspected on the basis of the specific features of the diarrhoea, ultrasound which revealed ureterohydronephrosis above a pelvic obstacle, and normal cystography. Surgical exploration demonstrated a ureterosigmoidfistula. This case represents the 20th case of ureterocolonic fistula reported in the literature, including 2 postoperative cases.