多次腹部子宫肌瘤切除术后子宫皮肤瘘：一例报告
Utero-cutaneous Fistula after Multiple Abdominal Myomectomies: A Case Report.
作者信息
Akkurt Mehmet Özgür, Yavuz And, Tatar Burak, Özkaya Mehmet Okan, Ekici Elif İlknur
机构信息
Department of Gynecology and Obstetrics, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey.
出版信息
Balkan Med J. 2015 Oct;32(4):426-8. doi: 10.5152/balkanmedj.2015.151206. Epub 2015 Oct 1.
BACKGROUND
Utero-cutaneous fistula (UCF) is an extremely rare entity and only a few case reports have been published. Most UCFs develop secondary to post-partum or postoperative complications.
CASE REPORT
A 42 year-old woman began to complain from bleeding and malodorous discharge through her abdominal incision scar. The fistula tract with a thickness of 8 mm was observed between the uterus and wound using magnetic resonance imaging (MRI). The risks and benefits of conservative treatment have been discussed; the patient demanded definitive treatment, so hysterectomy and excision of the fistulous tract was performed. Histopathology of the fistulous tract showed endometrial epithelization of the tract lined by granulation.
CONCLUSION
There are many causes of such an extremely rare entity. Patients should be counseled for medical or surgical treatment considering their age, accompanied uterine pathologies such as fibroids and fertility expectations.
背景
子宫皮肤瘘（UCF）是一种极其罕见的病症，仅有少数病例报告发表。大多数子宫皮肤瘘继发于产后或术后并发症。
病例报告
一名42岁女性开始抱怨其腹部切口瘢痕处出血且有恶臭分泌物。使用磁共振成像（MRI）观察到子宫与伤口之间存在一条厚度为8毫米的瘘管。已讨论了保守治疗的风险和益处；患者要求进行确定性治疗，因此实施了子宫切除术和瘘管切除术。瘘管的组织病理学检查显示，瘘管内衬有肉芽组织，呈子宫内膜上皮化生。
结论
导致这种极其罕见病症的原因众多。应根据患者年龄、是否伴有子宫肌瘤等子宫病变以及生育期望等因素，为患者提供医疗或手术治疗方面的咨询。
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