Utero-cutaneous Fistula: Laparoscopic Management of a Rarity - A Case Report

Utero-cutaneous fistula (UCF) is a rare complication after a cesarean section which is mostly managed surgically. There is only one reported case of laparoscopic management of UCF. Our patient, a para one lady, presented after cesarean section with bloody discharge from the cesarean wound ever since her surgery, which, on contrast-enhanced computed tomography was confirmed to be a UCF. She was managed successfully with laparoscopic fistula tract excision followed by debridement of the necrotic uterine wall and repair of both uterine and bladder defects. This case highlights that minimally invasive route is a feasible and reasonable option for a UCF repair. UCF may be difficult to suspect and diagnose leading to a delay in the diagnosis in most cases. Nevertheless, it warrants an arduous work up and meticulous management, whether medical or surgical to ensure the good quality of life to the patient.