Utero-cutaneous fistula after caesarean section secondary to red degeneration of intramural fibroid

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3 Citations (Scopus)

Abstract

A 33 year-old woman had an emergency caesarean section for retained second twin which was complicated by utero-cutaneous fistula due to red degeneration of intramural fibroid. The utero-cutaneous communication was demonstrated by an examination under anaesthesia using dye test. She then underwent excision of the fistula tract and myomectomy. She recovered well following the surgery. This is the first case of utero-cutaneous fistula where the communication is between the endometrial cavity and skin lesion via a necrotic intramural fibroid following caesarean section. Fistulogram might fail to demonstrate the communication. In highly suspected case, other modalities of investigations could be utilised.

Original languageEnglish
Pages (from-to)95-96
Number of pages2
JournalSexual and Reproductive Healthcare
Volume3
Issue number2
DOIs
Publication statusPublished - Jun 2012

Fingerprint

Cutaneous Fistula
Leiomyoma
Cesarean Section
Communication
Uterine Myomectomy
Skin
Fistula
Emergencies
Coloring Agents
Anesthesia

Keywords

  • Caesarean section
  • Fibroid
  • Fistula
  • Red degeneration
  • Utero-cutaneous

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Maternity and Midwifery

Cite this

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abstract = "A 33 year-old woman had an emergency caesarean section for retained second twin which was complicated by utero-cutaneous fistula due to red degeneration of intramural fibroid. The utero-cutaneous communication was demonstrated by an examination under anaesthesia using dye test. She then underwent excision of the fistula tract and myomectomy. She recovered well following the surgery. This is the first case of utero-cutaneous fistula where the communication is between the endometrial cavity and skin lesion via a necrotic intramural fibroid following caesarean section. Fistulogram might fail to demonstrate the communication. In highly suspected case, other modalities of investigations could be utilised.",
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AU - Lim, Pei Shan

AU - Shafiee, Mohamad Nasir

AU - Ahmad, Shuhaila

AU - Omar, Mohd Hashim

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AB - A 33 year-old woman had an emergency caesarean section for retained second twin which was complicated by utero-cutaneous fistula due to red degeneration of intramural fibroid. The utero-cutaneous communication was demonstrated by an examination under anaesthesia using dye test. She then underwent excision of the fistula tract and myomectomy. She recovered well following the surgery. This is the first case of utero-cutaneous fistula where the communication is between the endometrial cavity and skin lesion via a necrotic intramural fibroid following caesarean section. Fistulogram might fail to demonstrate the communication. In highly suspected case, other modalities of investigations could be utilised.

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KW - Fistula

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KW - Utero-cutaneous

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