Periodic Bleeding from a Cesarean Section Scar Fistula

Area of Science:

• Gynecology
• Surgical Pathology

Background:

• A 36-year-old woman with a history of multiple surgeries presented with an abdominal wound infection.
• Initial conservative treatment of the infection was unsuccessful.

Purpose of the Study:

• To investigate the cause of persistent abdominal wound infection and unusual catamenial bleeding.
• To diagnose and explain a rare clinical presentation involving a fistula.

Main Methods:

• Clinical presentation review and history taking.
• Surgical intervention for suspected fistula.
• Histopathological examination of the resected tissue.

Main Results:

• Catamenial bleeding was identified as an unusual symptom.
• Surgical repair revealed a fistula.
• Histopathology confirmed external endometriosis genitalis as the cause of the fistula.

Conclusions:

• External endometriosis genitalis can manifest as an abdominal wound infection and fistula.
• This case highlights the importance of considering rare gynecological conditions in complex abdominal presentations.
• Surgical and histopathological diagnosis is crucial for understanding and managing such cases.