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Uterocutaneous fistula after cesarean section; Case report
Jinan Nori Hasan1, Dildar Haji Musa2, Ayad Ahmad Mohammed2
1Duhok polytechnic University, Kurdistan Region, Iraq.
International Journal of Surgery Case Reports
|November 30, 2021
Summary
Uterocutaneous fistula is a rare condition, often following cesarean sections. This case highlights surgical excision and uterine repair with absorbable sutures as effective treatment for this rare obstetrical complication.
Area of Science:
- Obstetrics and Gynecology
- Surgical Case Reports
Background:
- Uterocutaneous fistula is an extremely rare abnormal tract between the uterus and skin.
- Classical presentation involves cyclical bleeding from a scar, typically after cesarean section.
Purpose of the Study:
- To report a rare case of uterocutaneous fistula following cesarean section.
- To discuss the diagnosis, management, and potential causes of uterocutaneous fistula.
Main Methods:
- A 28-year-old female presented with cyclical bleeding from a cesarean scar.
- Surgical exploration revealed a fistulous tract connecting the endometrial cavity to the scar.
- The tract was excised, and the uterus was repaired with slowly-absorbable sutures.
Main Results:
- The patient experienced no complications post-surgery and maintained regular menstrual cycles.
- Complete excision of the fistulous tract and uterine repair were successful.
Conclusions:
- Uterocutaneous fistula is rare, often associated with cesarean sections.
- Potential causes include infection, necrosis, foreign bodies, malignancy, and non-absorbable sutures.
- Effective management involves defining the fistula tract, controlling infection, complete resection, and uterine repair with absorbable sutures.
