Uterocutaneous FistulaA Case Series

Abstract

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.

Keywords

• caesarean
• diagnosis
• gnrh analogues
• myomectomy
• obstetric fistula