American Journal of Medical Case Reports
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American Journal of Medical Case Reports. 2022, 10(6), 176-179
DOI: 10.12691/ajmcr-10-6-4
Open AccessCase Report

Extremely Rare Case of Utero-cutaneous Fistula in Post Cesarean Section Setting with Successful Surgical Management

Oadi N. Shrateh1, , Mariam Thalji1, Samer Barahmeh2, Muayad Salman3, Haneen Owienah3, Ayman Altarifi4, Iyas Tanib2, Lyudmila Hamarsheh2 and Rabee Adwan5

1Faculty of Medicine, Al-Quds University, Jerusalem, Palestine

2Department of Obstetrics and Gynecology, Al-Istishari Arab Hospital, Ramallah, Palestine

3Department of Radiology, Al-Istishari Arab Hospital, Ramallah, Palestine

4Department of Surgery, Al-Istishari Arab Hospital, Ramallah, Palestine

5Department of Infectious Disease, Al-Istishari Arab Hospital, Ramallah, Palestine

Pub. Date: June 13, 2022

Cite this paper:
Oadi N. Shrateh, Mariam Thalji, Samer Barahmeh, Muayad Salman, Haneen Owienah, Ayman Altarifi, Iyas Tanib, Lyudmila Hamarsheh and Rabee Adwan. Extremely Rare Case of Utero-cutaneous Fistula in Post Cesarean Section Setting with Successful Surgical Management. American Journal of Medical Case Reports. 2022; 10(6):176-179. doi: 10.12691/ajmcr-10-6-4


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

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