Jadib Abdelhamid, Tabakh Houria, Chahidi El Ouazzani Lamiaa, Kardi Othmane, Siwane Abdellatif, Touil Najwa, Kacimi Omar, Chikhaoui Nabil
Emergency Radiology Division, Faculty of Medicine and Pharmacy of Casablanca, Ibn Rochd University Hospital, 1, quartiers des hôpitaux, Casablanca, Morocco, 20100.
Radiol Case Rep. 2021 Nov 1;17(1):77-79. doi: 10.1016/j.radcr.2021.09.069. eCollection 2022 Jan.
Utero-cutaneous fistula is a rare pathology. It mostly occurs consecutively to surgical intervention such as Cesarean section. Blood discharge from the cesarean scar during menstruation is a quasi-pathognomonic feature. Imaging modalities, particularly with the injection of contrast material through the cutaneous fistulous opening, confirm the diagnosis. The management is mainly surgical. We report the case of a utero-cutaneous fistula in a 27-year-old lady, with systemic lupus erythematosus. She presented seven months after her third cesarean section with pain and blood discharge from the cutaneous scar during menstruation for four months. A pelvic CT scan with the injection of the contrast material through the cutaneous fistulous opening confirmed the diagnosis of utero-cutaneous fistula. Surgical management was successful.
子宫皮肤瘘是一种罕见的病理情况。它大多继发于剖宫产等外科手术之后。月经期间剖宫产瘢痕处有血液流出是一种几乎具有诊断性的特征。影像学检查方法，特别是通过皮肤瘘口注入造影剂，可确诊该病。治疗主要是手术治疗。我们报告一例27岁患有系统性红斑狼疮的女性发生子宫皮肤瘘的病例。她在第三次剖宫产术后七个月出现症状，月经期间皮肤瘢痕处疼痛并流血四个月。通过经皮肤瘘口注入造影剂的盆腔CT扫描确诊为子宫皮肤瘘。手术治疗成功。
