Uterocutaneous fistula managed medically: A case report.

Autor: Koulshan Jameel, Gul-e-rana Abdul Mannan, Durr-e-shahwar Hayat, Rabiya Niaz
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: International Journal of Endorsing Health Science Research (2023)
Druh dokumentu: article
ISSN: 2307-3748
2310-3841
Popis: 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.
Databáze: Directory of Open Access Journals