Uterocutaneous Fistula Following Cesarean Section: Successful Management of a Case

Maddah, Ghodratollah; Fattahi, Asieh Sadat; Rahnama, Ali; Taraz Jamshidi, Shirin

Uterocutaneous Fistula Following Cesarean Section: Successful Management of a Case

Document Type : Case Report(s)

Authors

Ghodratollah Maddah ¹

Asieh Sadat Fattahi ¹

Ali Rahnama ²

Shirin Taraz Jamshidi ³

¹ Endoscopic and Minimally Invasive Surgery Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

² Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

³ Solid Tumor Treatment Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

A uterocutaneous fistula is a rare clinical presentation that occurs following Cesarean section and other pelvic operations. There are only a few reports discussing the treatments. We describe a patient with successful surgical management and review the literature. A 25-year-old woman referred to our department 13 months after her first Cesarean section. She had a history of an abdominal mass and collection 2 months after surgery and some fistula opening with discharge from her previous incision. She had a previous surgical operation and antibiotic therapy without complete response. We performed fistulography to evaluate the tracts. In the operation — she had fistula tracts, one of which was between the uterus and skin. We debrided the necrotic tissue in the uterus, excised the fistula tracts, and drained the uterine cavity. At 8 months’ postoperative follow-up, she had no recurrence. A uterocutaneous fistula is a rare condition with many causes and needs proper investigation and timely medical and surgical management.

Keywords

Cutaneous fistula

Uterine diseases

Cesarean Section

Pregnancy

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