Ureteral injury in an incidental vaginal incision during cesarean section

Incidental vaginotomy, a potentially severe complication, has occasionally been reported in cesarean sections performed after prolonged second stage labor. There is controversy on the significance of vaginotomy and its consequences in cesarean section. Ureteral injury has been reported as a possible complication of cesarean section. Herein, we present a case of anterior vaginal incision instead of lower uterine segment, where the right ureter had been obstructed by sutures. The injury was detected and corrected during the operation. Thus incidental vaginotomy in cesarean section must be taken seriously and avoided as far as possible. It is also crucial to inspect and preserve the integrity of ureters in such cases.