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Case Reports
. 2018 Sep;61(5):641-644.
doi: 10.5468/ogs.2018.61.5.641. Epub 2018 Jul 23.

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

Kyung-Jin Min  1 , Jaeeun Lee  1 , Seyoung Lee  1 , Sanghoon Lee  1 , Jin-Hwa Hong  1 , Jae-Yun Song  1 , Jae-Kwan Lee  1 , Nak Woo Lee  1
Affiliations
Case Reports

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

Kyung-Jin Min et al. Obstet Gynecol Sci. 2018 Sep.

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.

Keywords: Cutaneous fistula; Fertility preservation; Treatment.

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Conflict of interest statement

Conflict of interest: No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
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
Fig. 2. Postoperative abdominal-pelvic computed tomography; immediate postoperative state without evidence of dehiscence. Arrow means sutured uterine wall.
See this image and copyright information in PMC

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