Vesicouterine Cutaneous Fistula Post-cesarean Section — A Case Report

Abstract

This case report presents the diagnosis and management of a 41-year-old woman who developed a vesicouterine cutaneous fistula after a cesarean section. She initially presented with pus discharge from the cesarean wound site, and later exhibited cyclical hematuria and fluid leakage from the skin incision, prompting further investigation. Diagnostic modalities, including computed tomography with contrast, confirmed the presence of a complex fistula involving the bladder, uterus, and skin. Conservative management with gonadotropin-releasing hormone therapy was attempted but discontinued due to worsening symptoms. Surgical intervention was performed successfully, leading to the resolution of symptoms. This case underscores the importance of prompt recognition and appropriate management of rare postcesarean complications, emphasizing adherence to anatomical principles.

Keywords

• case report
• cesarean section
• complex fistula
• cyclical hematuria
• diagnostic imaging
• gonadotropin-releasing hormone
• surgical management
• vesicouterine cutaneous fistula
• wound infection