2021
DOI: 10.1016/j.ijscr.2021.106621
|View full text |Cite
|
Sign up to set email alerts
|

Uterocutaneous fistula after cesarean section; Case report

Abstract: Introduction and importance Fistula is an abnormal tract communicating two epithelial surfaces, uterocutaneous fistula is an extremely rare. The classical presentation is cyclical bleeding from an abnormal opening in the scar of previous cesarean section. Case presentation A 28 year-old was presented 6 months after cesarean section with history of severe pain and blood discharge during menstruation from the previous transverse supra-pubic scar. The patient had history o… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
3
2

Citation Types

0
10
0
1

Year Published

2022
2022
2024
2024

Publication Types

Select...
5

Relationship

0
5

Authors

Journals

citations
Cited by 7 publications
(11 citation statements)
references
References 8 publications
0
10
0
1
Order By: Relevance
“…Various imaging techniques are used. However, a fistulogram with either CT or MRI in the sagittal sections would give a clear diagnosis 7. Hysteroscopy helps us visualise the inner opening of the fistula.…”
Section: Discussionmentioning
confidence: 99%
“…Various imaging techniques are used. However, a fistulogram with either CT or MRI in the sagittal sections would give a clear diagnosis 7. Hysteroscopy helps us visualise the inner opening of the fistula.…”
Section: Discussionmentioning
confidence: 99%
“…2 Pathogenesis of UCF is multifactorial but initial iatrogenic disruption of the integrity of the uterine wall, subcutaneous tissue, and skin, further compounded by subsequent infective necrosis are likely contributory factors. Typical pelvic surgical procedures associated with UCF include CS 1,2 and open myomectomy 7,9 as in both of these, a potential channel is created between the uterus and the abdominal skin. The mechanism of action of leuprolide in this case is unclear but we postulate that it produces endometrial atrophy, leading to contracture, fibrosis, and eventual closure of the fistulous tract.…”
Section: Discussionmentioning
confidence: 99%
“…Traditional surgical treatment for UCF includes either open 1 or laparoscopic excision 2 of the fistulous tract but more radical strategies such as hysterectomy have also been reported. 3 Our case report illustrates that surgical intervention is not always necessary and there is increasing recognition of successful medical treatment with GnRH agonists such as leuprolide 4 and triptorelin.…”
Section: Discussionmentioning
confidence: 99%
“…Indeed, only 20 cases were reported in the literature over the last decade. [3,4] This unusual complication can follow surgeries such as caesarean sections (CS), hysterotomy and myomectomy. [5] Other causes that may result in this pathology include endometriosis, chronic infection, malignancies with local invasion to the adjacent organs, and the incomplete closure of wounds, particularly on the uterine wall.…”
Section: Introductionmentioning
confidence: 99%
“…[5] Other causes that may result in this pathology include endometriosis, chronic infection, malignancies with local invasion to the adjacent organs, and the incomplete closure of wounds, particularly on the uterine wall. [1,3] The clinical presentation is usually characterized by cyclical bleeding from the abnormal opening along the scar site on the abdomen. [3,6] A high index of suspicion is required to make a diagnosis, and this can be confirmed using imaging modalities such as hysterosalpingography (HSG), fistulogram, magnetic resonance imaging (MRI) of the pelvis, hysteroscopy, and computed tomography scan (CT scan) with intravenous contrast.…”
Section: Introductionmentioning
confidence: 99%