Sönmezer Murat, Sahincioğlu Ozgür, Cetinkaya Esra, Yazici Funda
Department of Obstetrics and Gynecology, Ankara University School of Medicine, Cebeci, Ankara, Turkey.
Arch Gynecol Obstet. 2009 Feb;279(2):225-7. doi: 10.1007/s00404-008-0683-7. Epub 2008 May 28.
Uterocutaneous fistula is an extremely rare clinical condition that can be seen after pelvic or uterine surgery. It can also complicate some obstetric procedures.
We report of an unusual case of an uterocutaneous fistula that developed in a multiparous woman after surgical evacuation of an incomplete first trimester septic abortion. The fistula tract was depicted on computed tomography, and to verify the diagnosis methylene blue was given through a transcervically introduced uterine catheter, and blue dye flow out through the external opening of fistula was observed. At laparatomy fistula tract was completely excised along with the enclosing omentum. Postoperative recovery and follow-up were uneventful.
Possible mechanisms of development of such a rare condition, and diagnostic and treatment options are discussed.
子宫皮肤瘘是一种极为罕见的临床病症，可在盆腔或子宫手术后出现。它也可能使一些产科手术出现并发症。
我们报告一例罕见的子宫皮肤瘘病例，该病例发生在一位经产妇身上，她在孕早期不全流产合并感染后行手术清宫。计算机断层扫描显示了瘘管，为确诊，通过经宫颈插入的子宫导管注入亚甲蓝，观察到蓝色染料从瘘管外口流出。在剖腹手术中，瘘管连同包裹的大网膜被完整切除。术后恢复及随访情况良好。
探讨了这种罕见病症可能的发病机制以及诊断和治疗方法。
