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Uterocutaneous fistula managed medically: A case report.
Author(s):
1. Koulshan Mustafa: Department of Gynecology and Obstetrics, Canadian Specialist Hospital Abu hail- Dubai- UAE,,
2. Gul-e-Rana Abdul: Department of Gynecology and Obstetrics, Canadian Specialist Hospital Abu hail- Dubai- UAE,,
3. Rabiya Niaz: Department of Gynecology and Obstetrics, Canadian Specialist Hospital Abu hail- Dubai- UAE,,
4. Durr-e-shahwar Hayat: Department of Radiology, Memon medical institute hospital Karachi-,,Pakistan
5. Anum sultan: Department of Radiology, Ziauddin medical university hospital Karachi-,,Pakistan
Abstract:
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.
Page(s): 104-109
Published: Journal: International Journal of Endorsing Health Science Research, Volume: 11, Issue: 2, Year: 2023
Keywords:
Laparotomy , Uterocutaneous Fistula , GnRH Agonists , Septic Abortion , Myomectomy
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