Utero-cutaneous fistula after caesarean section secondary to red degeneration of intramural fibroid

Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives
Pei Shan LimMohd Hashim Omar

Abstract

A 33 year-old woman had an emergency caesarean section for retained second twin which was complicated by utero-cutaneous fistula due to red degeneration of intramural fibroid. The utero-cutaneous communication was demonstrated by an examination under anaesthesia using dye test. She then underwent excision of the fistula tract and myomectomy. She recovered well following the surgery. This is the first case of utero-cutaneous fistula where the communication is between the endometrial cavity and skin lesion via a necrotic intramural fibroid following caesarean section. Fistulogram might fail to demonstrate the communication. In highly suspected case, other modalities of investigations could be utilised.

References

Jun 30, 2006·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Patama Promsonthi, Yongyoth Herabutya
Oct 5, 2006·Obstetrics and Gynecology·Dinesh ShuklaVijay Kumar Shukla
May 29, 2008·Archives of Gynecology and Obstetrics·Murat SönmezerFunda Yazici

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Citations

Dec 2, 2017·ANZ Journal of Surgery·Ashraf F HefnyMasoud O Bashir
Jan 26, 2021·Case Reports in Women's Health·Kristi Bøgh AndersonAnna Poulsgaard Frandsen

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