UTERO CUTANEOUS FISTULA- A CASE REPORT

Abstract

Background - Utero cutaneous fistula is a
rare complication of uterine surgery. Although
uterovesical, uterocolonic fistulae
are not uncommon, Uterocutaneous fistula
is a rare entity, mostly seen after
Post-partum or postoperative complications.
Other causes such as migration of
laminaria tent and intrauterine contraceptive
devices have also been described. .
Surgical treatment with hysterectomy
and or excision of the fistulous tract has
been successful. We report a case of
uterocutaneous fistula developed secondary
to cesarean section performed 11
months ago. Case -We report an unusual
case of an uterocutaneous fistula that
developed in a 27 year old para 2 live 2
lady, presented with bloody discharge
during her menstrual period from a pfannenstiel
incision scar, following a repeat
lower segment caesarean section. A fistulous
tract leading from uterus to the abdominal
incision scar was demonstrated
through a fistulogram. We proceeded
with excision of subcutaneous tract followed
by hysterectomy.