Shukla Dinesh, Pandey Suruchi, Pandey Lakshmi Kant, Shukla Vijay Kumar
Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, UP, India.
Obstet Gynecol. 2006 Sep;108(3 Pt 2):732-3. doi: 10.1097/01.AOG.0000188067.74163.40.
Uterocutaneous fistula is a rare condition that may be difficult to manage.
A young woman who underwent surgical intervention for cryptomenorrhea 3 years ago developed menstrual discharge from the abdominal scar. A fistulous tract leading from the infraumbilical midline scar to the uterus was demonstrated on contrast study. Genital examination revealed vaginal agenesis. A vaginoplasty was performed as the first stage. This was followed one year later by excision of the fistulous tract and establishment of cervicovaginal communication. The patient is now menstruating from the vaginal passage.
This case shows that a stepwise, well-planned, and well-executed procedure can lead to a satisfactory repair of an uterocutaneous fistula.
子宫皮肤瘘是一种罕见病症，可能难以处理。
一名年轻女性3年前因隐性闭经接受手术干预，之后腹部瘢痕处出现月经样分泌物。造影检查显示有一条从脐下中线瘢痕通向子宫的瘘管。妇科检查发现阴道闭锁。第一阶段进行了阴道成形术。一年后，切除瘘管并建立宫颈阴道通道。患者现在经阴道行经。
本病例表明，分步进行、精心规划且执行良好的手术可使子宫皮肤瘘得到满意修复。
