Utero-Cutaneous Fistula – A Rare Case Report

Abstract

An Uterocutaneous fistula is rare clinical entity, association is seen with postoperative injuries and chronic infections. Tubercular origin should be ruled out due to its wide spectrum of presentation specially in developing nations. Multiple diagnostic modalities are available these days for diagnosis. Surgery is the definitive treatment. We are here presenting a rare case report of utero-cutaneous fistula associated with tuberculosis.

Uterocutaneous fistula - post cesarean section

“…Uterocutaneous fistula is a very rare condition, there are a large number of causes for the formation of uterocutaneous fistulae such as lower-segment type of Cesarean section, abdominal pregnancy, and high delivery, whose pathophysiology is not fully understood but whose causes include multiple surgeries in the abdomen, use of drains, and in complete closure of incisions (2) . Previously, authors maintained that there was no nonsurgical treatment (1) and the range of the surgeries varied from the excision of the fistula tract (1) to hysterectomy (1)(2)(3)(4)(5) , which presents a challenge in young patients. More recent reports, however , have introduced combined surgical and medical treatment for the reduction in the risk of hysterectomy (2) .…”