Case Report of Uterocutaneous Fistula

Vellanki, Venkata Sujatha

doi:10.4172/2167-0420.1000231

Cited by 4 publications

(4 citation statements)

References 5 publications

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“…Fistulography and hysterosalpingography define the fistulous tract but cannot provide details of its communication with the other intra-abdominal viscera (1,3) . CT imaging helps in the proper delineation of the tract after the injection of the contrast agent through the abdominal site, but soft tissue resolution of CT scans is less compared with MRI (10,11) . MRI provides good soft tissue resolution, avoids radiation (as all other investigations involve significant radiation doses), and helps in proper delineation of the fistulous tract and its relation to the surrounding viscera.…”

Section: Discussionmentioning

confidence: 99%

Post-LSCS uterocutaneous fistula-utility of magnetic resonance imaging in its diagnosis

Ilyas

Khan

Gojwari

et al. 2019

tjod

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The present report describes one of the rarest complications of cesarean section, uterocutaneous fistula, diagnosed on magnetic resonance imaging (MRI). A 37-year-old female with history of lower segment caesarean section (LSCS) four years previously presented with a chief symptom of discharge from the right end of a Pfannenstiel incision and on further evaluation was found to have uterocutaneous fistula arising from the LSCS scar to the right end of the abdominal incision. Uterocutaneous fistula is a rare delayed complication of LSCS and MRI plays a definitive role in the accurate diagnosis and delineation of the tract. The present case highlights that although rare, uterocutaneous fistulae must be kept in mind in patients presenting with discharge from the abdominal incision site and MRI evaluation should be performed in such cases for appropriate delineation of the tract.

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Section: Discussionmentioning

confidence: 99%

Post-LSCS uterocutaneous fistula-utility of magnetic resonance imaging in its diagnosis

Ilyas

Khan

Gojwari

et al. 2019

tjod

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“…One should suspect this entity in a postoperative case if there is persistent discharge from scar site despite treatment, and later with regularization of periods cyclical discharge from the scar site corresponding to menstrual bleeding [1][2][3][4][5]. Vellanki et al reported a case where patient presented with groin sinus, recurrent painful swelling over edge of scar site after LSCS and was managed on lines of suture granuloma, scar endometrioma, underwent local drainage and excision but there was no relief in symptoms [7]. The diagnosis was made only after she was taken up for laparotomy.…”

Section: Discussionmentioning

confidence: 99%

“…With wide spread availability of contrast MRI scan and hysteroscopy complete delineation of fistulous tract and demonstration of its opening in uterus is used to confirm the diagnosis [9]. However, other modalities such as fistulography, hysterosalpingography, CT scan have been used for confirming the diagnosis and delineating the fistulous tract [7][8][9].…”

Section: Discussionmentioning

confidence: 99%

Abdominal menstruation: A dilemma for the gynecologist

Kassem¹,

Kumar²,

Kansal³

et al. 2017

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.comAbdominal menstruation: A dilemma for the gynecologist Seema Singhal, Sunesh Kumar, Yamini Kansal, Deepika Gupta, Mohit Joshi ABSTRACT Introduction: Menstrual fistulae are rare. They have been reported after pelvic inflammatory disease, pelvic radiation therapy, trauma, pelvic surgery, endometriosis, tuberculosis, gossypiboma, Crohn's disease, sepsis, migration of intrauterine contraceptive device and other pelvic pathologies. We report two rare cases of menstrual fistula. Case Series: Case 1: A 27-year-old nulliparous female presented with complaint of cyclical bleeding from the abdomen since three years. There was previous history of hypomenorrhea and cyclical abdominal pain since menarche. There is history of laparotomy five years back and laparoscopy four years back in view of pelvic mass. Soon after she began to have blood mixed discharge from scar site which coincided with her menstruation. She was diagnosed to have a vertical fusion defect with communicating left hypoplastic horn and non-communicating right horn on imaging. Laparotomy with excision of fistula and removal of right hematosalpinx was done. Case 2: 25-year-old female presented with history of lower segment caesarean section (LSCS) and burst abdomen, underwent laparotomy and loop ileostomy. Thereafter patient developed cyclical bleeding from scar site. Laparotomy with excision of fistulous tract and closure of uterine rent was done. Conclusion: Clinical suspicion and imaging help to clinch the diagnosis. There is no recommended treatment modality. Surgery is the mainstay of management. Complete excision of fistulous tract is mandatory for good long-term outcomes.

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“…An uterocutaneous fistula (communication between uterus and skin) is a rare condition, and there are only a few reports in this regard in the existing literature of its occurrence following cesarean section. Previous reports following cesarean section are associated with red degeneration of intramural fibroids, B-lynch sutures or multiple surgeries or insertion of drains or multi-associations [1,[3][4][5][6]. It has also been reported following criminal abortion [7].…”

Section: Introductionmentioning

confidence: 99%

Post cesarean uterocutaneous fistula with successful repair and successful outcome: A case report

Eleje¹,

Okan²,

Udigwe³

et al. 2018

neonatal-medicine

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Uterocutaneous fistula is a very rare complication of cesarean section. To the best of the knowledge of the researchers, this is second of such a case previously been reported in the researchers' environment. A 23-year-old Nigerian (black African) unmarried woman presented four years after cesarean section in a local hospital with one-year history of painful and bloody discharge during menstruation from a previous Pfannenstiel scar. A fistulous tract leading from the incision scar to the uterus was diagnosed. The lesion extended to the lower uterine segment, connecting the endometrial cavity with the skin. The fistulous tract was excised followed by repair of the uterine wound and she had complete relief from symptoms. This case report highlights the rare possibility of uterocutaneous fistula occurring in a woman following cesarean section. Appropriate surgical skills and post-operative care are necessary to prevent this outcome that may be agonizing for the patient.

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Case Report of Uterocutaneous Fistula

Cited by 4 publications

References 5 publications

Post-LSCS uterocutaneous fistula-utility of magnetic resonance imaging in its diagnosis

Post-LSCS uterocutaneous fistula-utility of magnetic resonance imaging in its diagnosis

Abdominal menstruation: A dilemma for the gynecologist

Post cesarean uterocutaneous fistula with successful repair and successful outcome: A case report

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