Abstract
Background: Uterocutaneous fistula is a rare complication of uterine surgery. Surgical treatment with hysterectomy and or excision of the fistuloustract has been successful. A successful medical treatment with gonadotropin releasing hormone agonist (leuprolide acetate) has been reported.A case of uterocutaneous fistula that was successfully treated with excision is reportedCase: A 35 years old para 2 lady, presented with bloody discharge during her menstrual period from a pfannenstiel incision scar, following a repeatcaesarean section. She admitted to post operative wound sepsis. A fistulous tract leading from uterus to the abdominal incision scar wasdemonstrated through a hysterosalpingogram. The patient has been symptoms free following excision and repair.Conclusion: The case highlights this rare complication of caesarean section. It also emphasizes the need for competence at caesarean section andmeasures to prevent post operative sepsis.
Published Version
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