Utero-cutaneous fistula following cesarean section

Taingson, Matthew C; Adze, Joel A; Bature, Stephen B; Durosinlorun, Amina Mohammed; Mohammed, Caleb; Amina, Abubakar

doi:10.4103/1595-1103.194212

Cited by 7 publications

(11 citation statements)

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“…In our case patient develop utero-cutaneous fistula two months after forth cesarean section, similar case reports have been documented by different authors 3,[7][8] . In compare to other case reports same presentation may occur after septic abortion, pelvic abscesses, abdominal pregnancy due to partial removal of placenta, congenital utero-vaginal malformation, action-mycosis, intrauterine contraceptive devices, and curettage of incomplete abortion 1,9-12 .…”

Section: Discussionsupporting

confidence: 88%

“…Fistulae mostly occur from trauma either surgical or accidental, or some type of chronic inflammatory processes that break up the connection of tissues involved 3 . The decrease in the incidence of utero-cutaneous fistula may be due to decrease in the frequency of classical cesarean and good surgical technique in obstetrics 4 , Utero-cutaneous fistula following lower segment cesarean section has been reported by various authors [5][6][7][8] .…”

Section: Discussionmentioning

confidence: 99%

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Utero-cutaneous Fistula Following Cesarean Section Fruitful Management

Latif¹,

Iqbal²,

Salman³

et al. 2021

Pak Postgrad Med J.

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Utero‑cutaneous fistula is one of the most unusual entity and up till now only a few case reports have been published. Most Utero‑cutaneous fistulas are secondary to postoperative complications following caesarean or other pelvic surgery. A 30‑year‑old woman, Para 4+0, all LSCS noticed bleeding through Pfannenstiel incision scar, following forth cesarean section. A fistulous tract was demonstrated at examination with a probe, between abdominal wound and uterus. The women underwent laparotomy with excision of the fistulous tract and repair of uterine and abdominal walls by taking all preventive measures for recurrence. She remained well postoperatively, specimen taken from fistulous tract sent for histopathology.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Utero-cutaneous Fistula Following Cesarean Section Fruitful Management

Latif¹,

Iqbal²,

Salman³

et al. 2021

Pak Postgrad Med J.

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“…Cases of post-partum hemorrhage wherein B-lynch sutures are placed have high risk of scar dehiscence, which may result in uterocutaneous fistula (6,7) . 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

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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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“…However, uterocutaneous fistulas are very rare and there are only a few case reports 2 , starting with a first description nearly a century ago 3 . All previous studies have focused on similar risk factors such as infection, multiple abdominal surgeries, use of drains, or incomplete closure of uterine incision 4 . Most of the reported cases are secondary to a C/S, however, there are some other reports secondary to pelvic abscess, abdominal pregnancy, incomplete placenta removal, or uterovaginal malformation 5 6 7 .…”

Section: Commentarymentioning

confidence: 99%