Tubocutaneous Fistula

Nayini, Krishnaveni; Gie, C

doi:10.1155/2015/104360

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…Medical, surgical or combined medical and surgical treatment have been tried [9][10][11][12][13]. Treatment depends on the age of the patient and the desire to retain fertility.…”

Section: Discussionmentioning

confidence: 99%

“…However, the type of resection should be individualized according to the needs of the patient [14]. For salpingocutaneous fistula one may advocate fistula resection and salpingectomy as the only feasible method of treating this rare disease to prevent the occurrence of ectopic pregnancy subsequently [13]. For uterocutaneous fistula, excision of fistulous tract with or without hysterectomy has been attempted.…”

Section: Discussionmentioning

confidence: 99%

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Abdominal menstruation: A dilemma for the gynecologist

Kassem¹,

Kumar²,

Kansal³

et al. 2017

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.comAbdominal menstruation: A dilemma for the gynecologist Seema Singhal, Sunesh Kumar, Yamini Kansal, Deepika Gupta, Mohit Joshi ABSTRACT Introduction: Menstrual fistulae are rare. They have been reported after pelvic inflammatory disease, pelvic radiation therapy, trauma, pelvic surgery, endometriosis, tuberculosis, gossypiboma, Crohn's disease, sepsis, migration of intrauterine contraceptive device and other pelvic pathologies. We report two rare cases of menstrual fistula. Case Series: Case 1: A 27-year-old nulliparous female presented with complaint of cyclical bleeding from the abdomen since three years. There was previous history of hypomenorrhea and cyclical abdominal pain since menarche. There is history of laparotomy five years back and laparoscopy four years back in view of pelvic mass. Soon after she began to have blood mixed discharge from scar site which coincided with her menstruation. She was diagnosed to have a vertical fusion defect with communicating left hypoplastic horn and non-communicating right horn on imaging. Laparotomy with excision of fistula and removal of right hematosalpinx was done. Case 2: 25-year-old female presented with history of lower segment caesarean section (LSCS) and burst abdomen, underwent laparotomy and loop ileostomy. Thereafter patient developed cyclical bleeding from scar site. Laparotomy with excision of fistulous tract and closure of uterine rent was done. Conclusion: Clinical suspicion and imaging help to clinch the diagnosis. There is no recommended treatment modality. Surgery is the mainstay of management. Complete excision of fistulous tract is mandatory for good long-term outcomes.

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“…Medical, surgical or combined medical and surgical treatment have been tried [9][10][11][12][13]. Treatment depends on the age of the patient and the desire to retain fertility.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Abdominal menstruation: A dilemma for the gynecologist

Kassem¹,

Kumar²,

Kansal³

et al. 2017

IJCRI

View full text Add to dashboard Cite

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Laparoscopic excision of tubocutaneous fistula: case report

Rajkumar¹,

Ganesh²,

Syed³

et al. 2018

OGIJ

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Gynecological fistulas that are familiar are vesicovaginal, rectovaginal and ureterovaginal fistulas, which may be due to childbirth, operative injury, tumour or radiation. Tubocutaneous fistula, is as a very rare condition secondary to tuberculosis, endometriosis, and complications of child birth and gynecological surgeries. We report a 30 year old woman with a tuberculous tubocutaneous fistula, arising from the right salphingeal tube and discharging in the lower abdomen cutaneously, who underwent laparoscopic right salpingo oophorectomy, and excision of the tract upto the skin, and the abdominal wall, with open excision of the distal part. The case is being published for its rarity, and to remind gynecologists to consider this possibility in a non-healing sinus in the lower abdomen. The authors believe this to be the first such case in literature.

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