Oadi N. Shrateh^1,, Mariam Thalji¹, Samer Barahmeh², Muayad Salman³, Haneen Owienah³, Ayman Altarifi⁴, Iyas Tanib², Lyudmila Hamarsheh², Rabee Adwan⁵

Introduction: Fistula is defined as abnormal communication between two epithelium-lined surfaces. Among all types of uterine fistulae, the utero-cutaneous one is infrequently encountered, especially following a lower uterine segment cesarean section. The classic presentation of patients with utero-cutaneous fistula is cyclical hemorrhage from the incision site of previous CS. Surgical intervention is considered the most effective therapeutic option. Clinical report: A 34-year-old female patient came to our attention complaining of abdominal pain and bloody discharge from the incisional site 2 months after a lower uterine segment cesarean section (LUCS). Utero-cutaneous fistula was detected by using Pelvic MRI. Patient had successful surgical resection of the fistula. Conclusion: Although it’s extremely rare, utero-cutaneous fistula should be included in the differential diagnosis of cyclical abdominopelvic pain and/or discharge after lower uterine segment cesarean section (LUCS).

utero-cutaneous fistula, cesarean section, fistulous tract, magnetic resonance imaging, surgical resection