Diagnostic Challenges and Surgical Management of Non-Healing Uterocutaneous Fistula: A Case Report
DOI:
https://doi.org/10.37018/HAMX5232Keywords:
Uterocutaneous fistula, Cesarean section, Diagnostic imaging, SurgeryAbstract
Uterocutaneous fistula (UCF) is a rare condition, with only a few case reports mentioned in the literature. This report describes the management of a 30-year-old female who presented with bloodstained purulent discharge from a previous Pfannenstiel incision after cesarean section. The patient had developed a fistulous communication between the uterus and the anterior abdominal wall, and the discharge from the wound site increased during menstruation. This condition was refractory to medical management. Radiological investigations, including a fistulogram, showed a blind-ended tract extending from the skin into the subcutaneous tissue. A laparotomy was performed in which a uterocutaneous fistula was identified and managed surgically.
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Copyright (c) 2026 Sabahat Iftikhar, Aleena Shoukat, Arslan Ahmed, Imran Aslam
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