Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China.
J Obstet Gynaecol Res. 2021 Sep;47(9):3392-3395. doi: 10.1111/jog.14863. Epub 2021 Jul 6.
Uterocutaneous fistula is an extremely rare postoperative complication and the most appropriate treatment remains unclear. In this case report, we described uterocutaneous fistula of a 41-year-old woman with persistent purulent discharge from a small opening in her midline incision after abdominal myomectomy. The patient was diagnosed as uterocutaneous fistula based on magnetic resonance imaging and the methylene blue dye test. Fertility-sparing surgery was performed and uterocutaneous fistula was successfully corrected. Some nonabsorbable silk sutures were found attached to the sinus tract. This could lead to infection, which could cause the formation of a uterocutaneous fistula. Since after 1-year of operation, no evidence of recurrence was found. Fertility-sparing surgery is effective for a patient with uterocutaneous fistula. Complete resection of the sinus tract and surrounding necrotic tissue is required in the repair of urterocutaneous fistula.
子宫皮肤瘘是一种极为罕见的术后并发症，其最适宜的治疗方法仍不明确。在本病例报告中，我们描述了 1 例 41 岁女性患者，在腹部子宫肌瘤剔除术后，其腹中线切口出现小开口持续脓性分泌物。该患者基于磁共振成像和亚甲蓝染料试验被诊断为子宫皮肤瘘。该患者接受了保留生育能力的手术，子宫皮肤瘘得到成功纠正。在窦道中发现一些不可吸收的丝线缝合线。这可能导致感染，从而导致子宫皮肤瘘的形成。由于术后 1 年，未发现复发的证据。保留生育能力的手术对子宫皮肤瘘患者是有效的。在修复子宫皮肤瘘时，需要彻底切除窦道和周围的坏死组织。
