UTERO CUTANEOUS FISTULA- A CASE REPORT

Background - Utero cutaneous fistula is a rare complication of uterine surgery. Although uterovesical, uterocolonic fistulae are not uncommon, Uterocutaneous fistula is a rare entity, mostly seen after Post-partum or postoperative complications. Other causes such as migration of laminaria tent and intrauterine contraceptive devices have also been described. . Surgical treatment with hysterectomy and or excision of the fistulous tract has been successful. We report a case of uterocutaneous fistula developed secondary to cesarean section performed 11 months ago. Case -We report an unusual case of an uterocutaneous fistula that developed in a 27 year old para 2 live 2 lady, presented with bloody discharge during her menstrual period from a pfannenstiel incision scar, following a repeat lower segment caesarean section. A fistulous tract leading from uterus to the abdominal incision scar was demonstrated through a fistulogram. We proceeded with excision of subcutaneous tract followed by hysterectomy.