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Uterocutaneous Fistula and its Repair.
Shahnaz Anwer1, Khiaynat Sarwar Hashmi1, Noreena Saba1
1Department of Obstetrics and Gynaecology, Bahawal Victoria Hospital, Bahawalpur, Punjab, Pakistan.
Summary
A rare uterocutaneous fistula, a tract between the uterus and abdominal wall, can develop after hysterotomy. Surgical removal of the fistula and uterine repair resolved the condition in a patient with a history of cesarean sections.
Area of Science:
- Gynecology
- Surgical Case Report
Background:
- Uterocutaneous fistula is an uncommon complication, with limited documented cases.
- Risk factors include prior uterine surgeries, such as hysterotomy following cesarean sections.
Observation:
- A 29-year-old female presented with an infected discharge from a Pfannenstiel incision site.
- The patient had a history of three pregnancies, including two cesarean sections and a missed miscarriage, with the last hysterotomy 16 months prior.
- Magnetic Resonance Imaging (MRI) confirmed a fistulous tract extending from the uterine endometrial cavity to the anterior abdominal wall.
Findings:
- Surgical exploration via laparotomy was performed.
- The fistulous tract was successfully excised.
- The uterus was repaired, resolving the condition.
Implications:
- This case highlights the possibility of uterocutaneous fistula formation after hysterotomy.
- Prompt diagnosis and surgical intervention are crucial for successful management.
- Further research into preventative strategies and long-term outcomes is warranted.
