CASE REPORT |
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Year : 2016 | Volume
: 17
| Issue : 2 | Page : 58-60 |
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Utero-cutaneous fistula following cesarean section
Matthew Chum Taingson, Joel A Adze, Stephen B Bature, Amina Mohammed Durosinlorun, Mohammed Caleb, Abubakar Amina
Department of Obstetrics and Gynaecology, Faculty of Medicine, Barau Dikko Teaching Hospital, Kaduna State University, Kaduna, Nigeria
Correspondence Address:
Matthew Chum Taingson Department of Obstetrics and Gynaecology, Faculty of Medicine, Barau Dikko Teaching Hospital, Kaduna State University, Kaduna Nigeria
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1595-1103.194212
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Utero-cutaneous fistula is an extremely rare entity, and only a few case reports have been published. Most Utero-cutaneous fistulas are secondary to postpartum or postoperative complications. A 23-year-old woman, para 1+0, not alive, noticed bleeding through her abdominal incision scar, following a cesarean section for retained second twin 5 years before presentation. A fistulous tract was demonstrated at examination under anesthesia with a probe, between the uterus and wound. The patient had laparotomy with excision of the fistulous tract and uterine repair; she did well postoperatively. Although our patient had a successful surgical treatment, prevention of utero-cutaneous fistula by meticulous technique during the primary surgical procedure and measures to prevent postoperative sepsis would have spared this patient the distress, cost, and risk of a second operation. |
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