Extremely Rare Case of Utero-cutaneous Fistula in Post Cesarean Section Setting with Successful Surgical Management

Oadi N. Shrateh^1, , Mariam Thalji¹, Samer Barahmeh², Muayad Salman³, Haneen Owienah³, Ayman Altarifi⁴, Iyas Tanib², Lyudmila Hamarsheh² and Rabee Adwan⁵

¹Faculty of Medicine, Al-Quds University, Jerusalem, Palestine

²Department of Obstetrics and Gynecology, Al-Istishari Arab Hospital, Ramallah, Palestine

³Department of Radiology, Al-Istishari Arab Hospital, Ramallah, Palestine

⁴Department of Surgery, Al-Istishari Arab Hospital, Ramallah, Palestine

⁵Department of Infectious Disease, Al-Istishari Arab Hospital, Ramallah, Palestine

Cite this paper

Oadi N. Shrateh, Mariam Thalji, Samer Barahmeh, Muayad Salman, Haneen Owienah, Ayman Altarifi, Iyas Tanib, Lyudmila Hamarsheh and Rabee Adwan. Extremely Rare Case of Utero-cutaneous Fistula in Post Cesarean Section Setting with Successful Surgical Management. American Journal of Medical Case Reports. 2022; 10(6):176-179. doi: 10.12691/AJMCR-10-6-4

Abstract

Introduction: Fistula is defined as abnormal communication between two epithelium-lined surfaces. Among all types of uterine fistulae, the utero-cutaneous one is infrequently encountered, especially following a lower uterine segment cesarean section. The classic presentation of patients with utero-cutaneous fistula is cyclical hemorrhage from the incision site of previous CS. Surgical intervention is considered the most effective therapeutic option. Clinical report: A 34-year-old female patient came to our attention complaining of abdominal pain and bloody discharge from the incisional site 2 months after a lower uterine segment cesarean section (LUCS). Utero-cutaneous fistula was detected by using Pelvic MRI. Patient had successful surgical resection of the fistula. Conclusion: Although it’s extremely rare, utero-cutaneous fistula should be included in the differential diagnosis of cyclical abdominopelvic pain and/or discharge after lower uterine segment cesarean section (LUCS).

Keywords

utero-cutaneous fistula, cesarean section, fistulous tract, magnetic resonance imaging, surgical resection

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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