Journal of Clinical Case Reports

Management of Uterocutaneous Fistula: A Stepwise Approach

Abstract

Mini Mathew*, Joylene D’Almeida, Ashish Shivendra Singhal, Sujaya V Rao, Prema D’Cunha and Shannon Francesca Fernandes

A fistula is an abnormal tract that connects two epithelial surfaces and occurs as a result of trauma, surgery, or infections. Most uterine fistulae are between the uterus and the bladder (utero-vesical) or between the uterus and the bowel (utero-colonic) due to postoperative injuries or infectious conditions. Utero-cutaneous fistula (communication between the uterus and skin) is a rare condition, accounting for only a few reports in the existing literature. We describe a patient with fistula following a caesarean section who did not respond to medical or surgical (secondary suturing) treatment. She underwent fistulectomy with repair of the uterus and abdominal wall. The procedure led to a successful outcome.