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.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6637778 | PMC |
| http://dx.doi.org/10.4274/tjod.galenos.2019.29560 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Utero-cutaneous fistula following caesarean section.
BMJ Case Rep
February 2024
Mahatma Gandhi Medical College and Research Institute, Pondicherry, India.
A multiparous woman in her 20s, presented to the clinic with bleeding from caesarean scar site. After clinical examination and radiological evaluation with ultrasound and MR fistulogram, the diagnosis was utero-cutaneous fistula. Complete resection of fistulous tract with uterine defect closure and supportive omental patch placement was done after an intraoperative demonstration of the utero-cutaneous fistula by injecting methylene blue dye.
View Article and Find Full Text PDFUtero-Cutaneous Fistula in Ruminants: Characterization of the First Cases in Ewes and Cows.
Animals (Basel)
January 2024
Veterinary Pathology Laboratory, College of Agronomy and Veterinary Medicine, Universidade de Brasília, Brasília 70910-970, DF, Brazil.
Reports on UCF in animals are still lacking in veterinary literature. Detailed clinical signs, laboratory findings, and follow-up information from the first cases of UCF in two ewes and two cows are provided. The cases occurred over a 12-year period.
View Article and Find Full Text PDFUterocutaneous Fistula and its Repair.
J Coll Physicians Surg Pak
December 2022
Department of Obstetrics and Gynaecology, Bahawal Victoria Hospital, Bahawalpur, Punjab, Pakistan.
A uterocutaneous fistula is a rare condition with a few reports in the literature. A 29-year female presented to our department with infected discharge at her previous Pfannenstiel incision. She was P3+1 with her last hysterotomy 16 months back due to previous two cesarean sections and missed miscarriage at 24 weeks of gestational amenorrhea.
View Article and Find Full Text PDFMedical management of small uterocutaneous fistulae with gonadotrophin releasing hormone analogs: Case report and literature review.
J Obstet Gynaecol Res
February 2023
Department of Obstetrics and Gynecology, North Middlesex University Hospital, London, UK.
Conventional management of uterocutaneous fistula involves open or laparoscopic excision as well as hysterectomy but there is now increasing recognition of successful medical treatment with gonadotrophin releasing hormone agonists. We describe the fourth case in the literature of successful nonsurgical treatment of uterocutaneous fistula and discuss two important factors affect the success of medical management, namely the size of the fistula and the duration of treatment. We would recommend that a trial of gonadotrophin releasing hormone analogues for at least 6 months particularly in cases of uterocutaneous fistula of 5 mm or less in diameter as this conservative treatment is likely to obviate the need for more hazardous surgical intervention.
View Article and Find Full Text PDFUtero-cutaneous fistula after caesarean section delivery: diagnosis and management of a rare complication.
Prz Menopauzalny
September 2022
Department of Obstetrics and Gynaecology, Villa Sofia Cervello Hospital, University of Palermo, Palermo, Italy.
Utero-cutaneous fistula is an extremely rare condition characterized by an abnormal communication between the anterior wall of the uterus and the abdominal wall. The causes include multiple caesarean sections, incomplete hysterorrhaphy, miscarriages, uterine cavity revision, retention of placental material after delivery, use of drains, post-operative infections, or injuries. Herein, we report a case of a 38-year-old female, who underwent caesarean section 42 days earlier and presented to the emergency room complaining of fever, abdominal pain, and purulent discharge from the abdominal wall from 6 days.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!