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Uterocutaneous fistula after abdominal myomectomy: A case report
Author(s) -
Wang Yongxue,
Wang Shu,
Shi Honghui,
Lang Jinghe
Publication year - 2021
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.14863
Subject(s) - medicine , fistula , surgery , sinus (botany) , complication , magnetic resonance imaging , urinary fistula , rectovaginal fistula , radiology , botany , biology , genus
Uterocutaneous fistula is an extremely rare postoperative complication and the most appropriate treatment remains unclear. In this case report, we described uterocutaneous fistula of a 41‐year‐old woman with persistent purulent discharge from a small opening in her midline incision after abdominal myomectomy. The patient was diagnosed as uterocutaneous fistula based on magnetic resonance imaging and the methylene blue dye test. Fertility‐sparing surgery was performed and uterocutaneous fistula was successfully corrected. Some nonabsorbable silk sutures were found attached to the sinus tract. This could lead to infection, which could cause the formation of a uterocutaneous fistula. Since after 1‐year of operation, no evidence of recurrence was found. Fertility‐sparing surgery is effective for a patient with uterocutaneous fistula. Complete resection of the sinus tract and surrounding necrotic tissue is required in the repair of urterocutaneous fistula.