Abstract
Uterocutaneous fistula is a rare complication that occurs after cesarean section and other pelvic operations. Here we report a case of a 27 years woman presented to our department with a mass and pus-like discharge coming from her previous Pfannenstiel incision for 1 month. The definitive treatment of such cases is hysterectomy but the case was managed by fistulectomy along with gonadotropin-releasing hormone agonist.
Highlights
Uterocutaneous fistula is a rare condition where communication is between uterus and skin.[1]
We report a very rare case of post-cesarean uterocutaneous fistula that was successfully treated with excision of the fistulous tract from the skin and repair of the fistulous uterus
Ultrasound (USG) and Magnetic resonance imaging (MRI) were done which reported an 11-12mm fistulous tract extending through the muscular plane of the uterus
Summary
Uterocutaneous fistula is a rare condition where communication is between uterus and skin.[1]. Uterocutaneous fistula is a rare condition where communication is between uterus and skin.[1] Multiple abdominal surgeries, endometriosis, and wound dehiscence have been implicated in the development of the fistula of the uterus.[2] All published cases till date, have been managed either surgically with a hysterectomy and/or excision of a fistulous tract or medically by Gonadotropin-releasing hormone agonist. We report a very rare case of post-cesarean uterocutaneous fistula that was successfully treated with excision of the fistulous tract from the skin and repair of the fistulous uterus.
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