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

Abstract

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.

Uterocutaneous Fistula Complicating Caesarean Section: A Case Report

“…Commonly, uterine fistulae are known to occur between the uterus and the bowel or between the uterus and the urinary bladder due to postoperative injuries or infectious conditions. However, UFC is a rare entity [1,2] ; hence, its exact incidence is unknown because of this pathology's rarity. Indeed, only 20 cases were reported in the literature over the last decade.…”