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Uterocutaneous fistula following caesarean section (A Case Report
Abstract
Background: Uterocutaneous fistula is a rare complication of uterine surgery. Surgical treatment with hysterectomy and or excision of the fistulous
tract has been successful. A successful medical treatment with gonadotropin releasing hormone agonist (leuprolide acetate) has been reported.
A case of uterocutaneous fistula that was successfully treated with excision is reported
Case: A 35 years old para 2 lady, presented with bloody discharge during her menstrual period from a pfannenstiel incision scar, following a repeat
caesarean section. She admitted to post operative wound sepsis. A fistulous tract leading from uterus to the abdominal incision scar was
demonstrated through a hysterosalpingogram. The patient has been symptoms free following excision and repair.
Conclusion: The case highlights this rare complication of caesarean section. It also emphasizes the need for competence at caesarean section and
measures to prevent post operative sepsis.
tract has been successful. A successful medical treatment with gonadotropin releasing hormone agonist (leuprolide acetate) has been reported.
A case of uterocutaneous fistula that was successfully treated with excision is reported
Case: A 35 years old para 2 lady, presented with bloody discharge during her menstrual period from a pfannenstiel incision scar, following a repeat
caesarean section. She admitted to post operative wound sepsis. A fistulous tract leading from uterus to the abdominal incision scar was
demonstrated through a hysterosalpingogram. The patient has been symptoms free following excision and repair.
Conclusion: The case highlights this rare complication of caesarean section. It also emphasizes the need for competence at caesarean section and
measures to prevent post operative sepsis.
