Utero-cutaneous fistula following cesarean section: A case report

Jadib, A.; Tabakh, H.; Ouazzani, Lamiaa Chahidi El; Kardi, Othmane; Siwane, A.; Touil, N.; Kacimi, O.; Çhikhaoui, N.

doi:10.1016/j.radcr.2021.09.069

Cited by 4 publications

(12 citation statements)

References 4 publications

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“…Reviewing the literature shows that surgery remains the mainstay in the management of utero-cutaneous fistula 10. All case reports suggest excision of the tract.…”

Section: Discussionmentioning

confidence: 99%

Utero-cutaneous fistula following caesarean section

Coumary,

Galidevara,

Naga Daliya

et al. 2024

BMJ Case Rep

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A multiparous woman in her 20s, presented to the clinic with bleeding from caesarean scar site. After clinical examination and radiological evaluation with ultrasound and MR fistulogram, the diagnosis was utero-cutaneous fistula. Complete resection of fistulous tract with uterine defect closure and supportive omental patch placement was done after an intraoperative demonstration of the utero-cutaneous fistula by injecting methylene blue dye. Utero-cutaneous fistula is a rare complication after caesarean section. Cyclical bleeding from an abnormal opening in previous caesarean scar site is the classical presentation of this condition.

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“…Reviewing the literature shows that surgery remains the mainstay in the management of utero-cutaneous fistula 10. All case reports suggest excision of the tract.…”

Section: Discussionmentioning

confidence: 99%

Utero-cutaneous fistula following caesarean section

Coumary,

Galidevara,

Naga Daliya

et al. 2024

BMJ Case Rep

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“…UCF is a very rare complication of cesarean section in women, with about 20 cases reported in the literature in the past 30 years [1][2][3][4][5][6][7][10][11][12]. The pathophysiology of UCF is not well understood [2], but most UCFs develop secondary to post-partum or postoperative complications, such as cesarean section or treatment for miscarriage in women [1- Case 4. During a routine pregnancy evaluation in the breeding season, a 7-year-old and 353 kg Nelore cow from Santa Rita de Cássia County, Bahia State, Northeastern Brazil, showed a severely enlarged uterus upon rectal palpation.…”

Section: Discussionmentioning

confidence: 99%

“…In women, the vast majority of uterine fistulae result from abnormal communication between the uterus and the urinary bladder (utero-vesical fistula), vagina (utero-vaginal fistula), or intestines (utero-enteric fistula) [1][2][3]. Utero-cutaneous fistula (UCF) is an extremely rare variant of uterine fistulae that results from pathological communication amidst the anterior wall of the uterus and the abdominal wall [2,4]. The few UCF cases reported in women in the past 30 years were almost exclusively observed following surgical intervention, such as cesarean section or treatment for miscarriage [1][2][3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

“…Utero-cutaneous fistula (UCF) is an extremely rare variant of uterine fistulae that results from pathological communication amidst the anterior wall of the uterus and the abdominal wall [2,4]. The few UCF cases reported in women in the past 30 years were almost exclusively observed following surgical intervention, such as cesarean section or treatment for miscarriage [1][2][3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

“…Reports on UCFs in animals are still lacking in veterinary literature. Despite UCF being mainly reported in the post-partum period in women [1][2][3][4][5][6][7], we present four cases of UCF affecting pregnant cows and ewes from different locations in Brazil. We report on the first cases of UCF in any animal species and provide detailed clinical signs, laboratory findings, and follow-up information, thus contributing to the knowledge about this rare condition in pregnant ruminants.…”

Section: Introductionmentioning

confidence: 99%

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Utero-Cutaneous Fistula in Ruminants: Characterization of the First Cases in Ewes and Cows

Câmara,

Braga,

Fidelis

et al. 2024

Animals

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Reports on UCF in animals are still lacking in veterinary literature. Detailed clinical signs, laboratory findings, and follow-up information from the first cases of UCF in two ewes and two cows are provided. The cases occurred over a 12-year period. All ruminants presented a fistulous tract or perforated wound on the right ventral abdomen, emitting a foul-smelling secretion possibly associated with macerated fetal parts or placental remains. Laboratory findings included anemia, leukocytosis by neutrophilia, and hyperfibrinogenemia in one ewe, and hyperfibrinogenemia in one cow. Ovariohysterectomy and fistulectomy were performed in one ewe, while the other three ruminants were submitted for the removal of fetal parts and placental remains through the UCF. Two ewes died within 12–48 h, and the two Nelore cows had an uneventful recovery, achieving secondary intention healing within 30 to 35 days. As a never-reported or unnoticed disease of the reproductive tract, UCF is an unusual consequence of dead fetus retention in an end-stage pregnancy and a potentially life-threatening condition in ruminants, especially ewes. Further broad studies in large herds of cattle and small ruminant flocks must be conducted to estimate the incidence of UCF and ensure improvements in the diagnosis and knowledge of pathogenesis, aiming at prevention.

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Utero-Cutaneous Fistula: A Case Report

2024

Ann Case Report

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Utero-cutaneous fistula is an extremely rare condition characterized by an abnormal communication between the anterior wall of the uterus and the abdominal wall. The causes include multiple caesarean sections, miscarriages, uterine cavity revision, and retention of placental material after delivery, use of drains, post-operative infections, or injuries. Herein, we report a case of a 39-year-oldfemale, who underwent caesarean section 8 months earlier and presented to the emergency room complaining of abdominal pain, and purulent discharge from the abdominal wall. Magnetic resonance imaging demonstrated the presence of a probable hyper intense fistula, extended from the subcutaneous area and in connection with the uterus. A laparotomic surgical procedure was successfully performed.

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Utero-cutaneous fistula following cesarean section: A case report

Cited by 4 publications

References 4 publications

Utero-cutaneous fistula following caesarean section

Utero-cutaneous fistula following caesarean section

Utero-Cutaneous Fistula in Ruminants: Characterization of the First Cases in Ewes and Cows

Utero-Cutaneous Fistula: A Case Report

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