Utero-cutaneous Fistula after Multiple Abdominal Myomectomies: A Case Report

Akkurt, Mehmet Özgür; Yavuz, And; Tatar, Burak; Özkaya, Mehmet Okan; Ekici, Elif İlknur

doi:10.5152/balkanmedj.2015.151206

Cited by 16 publications

(12 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[5][6][7][8][9] Myomectomy is a common operation for symptomatic women with uterine fibroids who wish to preserve their reproductive potential, and to date, only three cases of uterocutaneous fistula have been reported after myomectomy. [10][11][12] The present patient underwent abdominal multiple myomectomies, with 31 myomas removed. The surgery was difficult, and incomplete closure of the uterine wound and the use of nonabsorbable sutures increased the risk of postoperative infection, which eventually caused the uterocutaneous fistula.…”

Section: Discussionmentioning

confidence: 89%

Uterocutaneous fistula after abdominal myomectomy: A case report

Wang

Shu

Shi

et al. 2021

J of Obstet and Gynaecol

View full text Add to dashboard Cite

Uterocutaneous fistula is an extremely rare postoperative complication and the most appropriate treatment remains unclear. In this case report, we described uterocutaneous fistula of a 41-year-old woman with persistent purulent discharge from a small opening in her midline incision after abdominal myomectomy. The patient was diagnosed as uterocutaneous fistula based on magnetic resonance imaging and the methylene blue dye test. Fertility-sparing surgery was performed and uterocutaneous fistula was successfully corrected. Some nonabsorbable silk sutures were found attached to the sinus tract. This could lead to infection, which could cause the formation of a uterocutaneous fistula. Since after 1-year of operation, no evidence of recurrence was found. Fertility-sparing surgery is effective for a patient with uterocutaneous fistula. Complete resection of the sinus tract and surrounding necrotic tissue is required in the repair of urterocutaneous fistula.

show abstract

Section: Discussionmentioning

confidence: 89%

Uterocutaneous fistula after abdominal myomectomy: A case report

Wang

Shu

Shi

et al. 2021

J of Obstet and Gynaecol

View full text Add to dashboard Cite

show abstract

“…Other rare causes that may result in the formation of uterocutaneous fistula are patients with multiple abdominal myomectomies, history of hysterectomy, and as a primary presentation in underlying gynecologic malignancy such as endometrioid adenocarcinoma, which can predispose the weak cesarean scar to fistula formation (6,7,8) . The blood leakage from the incision site during menstruation has been described as pathognomonic of the uterocutaneous fistula (9) .…”

Section: Discussionmentioning

confidence: 99%

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

Ilyas

Khan

Gojwari

et al. 2019

tjod

View full text Add to dashboard Cite

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.

show abstract

“…However, uterocutaneous fistula formation is a rare phenomenon, with only a handful of case reports having been published. Furthermore, uterocutaneous fistulas are known to develop as a result of radiation therapy, surgical or postpartum complications 6. To our knowledge, there are no prior case reports of a uterocutaneous fistula as the primary presentation of a uterine malignancy.…”

Section: Introductionmentioning

confidence: 99%

Uterocutaneous fistula as the primary presentation of a gynaecological malignancy

Hardy

Leung

2018

BMJ Case Reports

View full text Add to dashboard Cite

We report a case of high-grade gynaecological carcinoma presenting as a uterocutaneous fistula. A 59-year-old woman presented with a discharging abdominal wall wound. Imaging confirmed a large solid pelvic mass forming a sinus tract with the anterior abdominal wall. The tract tunnelled through a previous caesarean section scar. Biopsy indicated a high-grade gynaecological carcinoma, with features suggestive of endometrioid adenocarcinoma. The patient underwent two cycles of chemotherapy. Despite this, the mass increased in size and was complicated by abdominal wall wound breakdown. Chemotherapy was ceased. Surgical and palliative options are under consideration.

show abstract

Utero-cutaneous Fistula after Multiple Abdominal Myomectomies: A Case Report

Cited by 16 publications

References 6 publications

Uterocutaneous fistula after abdominal myomectomy: A case report

Uterocutaneous fistula after abdominal myomectomy: A case report

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

Uterocutaneous fistula as the primary presentation of a gynaecological malignancy

Contact Info

Product

Resources

About