Uterocutaneous fistula managed medically: A case report.
Background: The uterocutaneous fistula is an abnormal connection or passageway between the uterus and the skin. The most common causes include infections, trauma, or surgery, a severe medical condition requiring prompt medical attention and treatment. Case Presentation: Here, we describe the cas...
| Published in: | International Journal of Endorsing Health Science Research |
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| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
| Published: |
Advance Educational Institute & Research Centre
2023-03-01
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| Subjects: | |
| Online Access: | https://aeirc-edu.com/ojs14/index.php/IJEHSR/article/view/932 |
| Summary: | Background: The uterocutaneous fistula is an abnormal connection or passageway between the uterus and the skin. The most common causes include infections, trauma, or surgery, a severe medical condition requiring prompt medical attention and treatment.
Case Presentation: Here, we describe the case of a 36-year-old female who developed a uterocutaneous fistula after cesarean delivery. Her post-cesarean recovery was complicated by wound infection, and after healing the wound, she presented with cyclical bloody discharge from a pinpoint opening in the healed wound scar.
Management: On ultrasound and MRI, she was diagnosed as having a uterocutaneous fistula. She opted for non-surgical management and underwent successful medical management with GnRH agonists. She remained symptom-free after the resumption of her menstrual cycle.
Conclusion: In younger populations hoping to avoid surgery, pharmacological care with GnRH agonist therapy can be a reasonable alternative to surgical resection of the fistulous tract. Healthcare professionals should have a high index of suspicion to diagnose this condition.
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| ISSN: | 2307-3748 2310-3841 |