Uterocutaneous Fistula- A Case Series
Correspondence Address :
Dr. Monika Gupta,
Professor, Department of Obstetrics and Gynaecology, Vardhman Mahavir
Medical College and Safdarjung Hospital, New Delhi-110029, India.
E-mail: drmonikagupta@hotmail.com
Uterocutaneous Fistula (UCF) is an uncommon condition, which usually occurs as a postoperative complication. Authors, hereby presented three cases of UCF. First case was of 40-year-old multigravida who presented with pus discharge from anterior abdominal wall for three months duration following an open uterine myomectomy. Her UCF was confirmed after methylene blue dye test and Magnetic Resonance Imaging (MRI). She had unsuccessful closure of UCF after three months of Gonadotropin-Releasing Hormone (GnRH) analogue therapy and complete excision of the fistulous tract was achieved later. She was asymptomatic after 24 months of follow-up. Second and third case was primigravida patients who developed UCF after caesarean section and were managed conservatively. Uterocutaneous fistula is a rare clinical entity, and its prevention is the best strategy with avoidance of postoperative infection and better surgical technique. Authors reviewed here the cases of UCF after abdominal myomectomy and caesarean section and its management.
Caesarean, Diagnosis, GnRH analogues, Myomectomy, Obstetric fistula
DOI: 10.7860/JCDR/2021/50701.15800
Date of Submission: Jun 05, 2021
Date of Peer Review: Aug 26, 2021
Date of Acceptance: Oct 28, 2021
Date of Publishing: Dec 01, 2021
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Jun 07, 2021
• Manual Googling: Oct 28, 2021
• iThenticate Software: Nov 22, 2021 (1%)
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