Obstet Gynecol Sci.  2018 Sep;61(5):641-644. 10.5468/ogs.2018.61.5.641.

Uterocutaneous fistula after pelviscopic myomectomy - successful diagnosis with hystero-salpingo contrast sonography and complete tract resection and medical treatment for fertility preservation in young woman: a case report

Affiliations
  • 1Department of Obstetrics and Gynecology, Korea University Ansan Hospital, Ansan, Korea. nwlee@korea.ac.kr

Abstract

A uterocutaneous fistula is rarely reported clinical condition after uterine procedures. Many diagnostic and management strategies are being suggested. In this case report, uterocutaneous fistula after pelviscopic myomectomy was diagnosed simply with hystero-salpingo contrast sonography and managed by surgical tract excision without hysterectomy and uterine wall dehiscence repair combined with medical treatment using gonadotropin-releasing hormone agonist succeeded to preserve fertility in young woman.

Keyword

Cutaneous fistula; Fertility preservation; Treatment

MeSH Terms

Cutaneous Fistula
Diagnosis*
Female
Fertility Preservation*
Fertility*
Fistula*
Gonadotropin-Releasing Hormone
Humans
Hysterectomy
Gonadotropin-Releasing Hormone

Figure

  • Fig. 1 (A) Hysterosalpingo contrast sonography. Each marks mean follow as; Astrix - uterine outline, short arrow - EM cavity with catheter ballooning, long arrow - contrast leakage through right side of fundus to the pelvic cavity, and B - bowel. (B) postoperative sono revealing well margined myometrium.

  • Fig. 2 Postoperative abdominal-pelvic computed tomography; immediate postoperative state without evidence of dehiscence. Arrow means sutured uterine wall.


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