Tubercular uterocutaneous fistula after caesarean section: A case report

A 29-year-old patient had undergone an elective lower-segment caesarean section (LSCS) five months previously at a district hospital. The operation and the immediate postoperative period were uneventful. After five months she presented back with a fistulous opening. A fistulogram revealed a connecti...

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Main Authors: Aditi Jindal (Author), Himanshu Chaudhary (Author), Monika Thakur (Author)
Format: Book
Published: Elsevier, 2018-01-01T00:00:00Z.
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100 1 0 |a Aditi Jindal  |e author 
700 1 0 |a Himanshu Chaudhary  |e author 
700 1 0 |a Monika Thakur  |e author 
245 0 0 |a Tubercular uterocutaneous fistula after caesarean section: A case report 
260 |b Elsevier,   |c 2018-01-01T00:00:00Z. 
500 |a 2214-9112 
500 |a 10.1016/j.crwh.2018.02.001 
520 |a A 29-year-old patient had undergone an elective lower-segment caesarean section (LSCS) five months previously at a district hospital. The operation and the immediate postoperative period were uneventful. After five months she presented back with a fistulous opening. A fistulogram revealed a connection between the uterus and the skin. Fistulous tract excision was planned. Intraoperatively there was communication between the skin and the uterine cavity, with extensive necrosis of the uterine wall. The patient gave her informed consent for excision of the fistulous tract and/or total abdominal hysterectomy. During surgery, it was deemed that there was no scope for excision, so the decision was made for a total abdominal hysterectomy. Histopathological examination confirmed tuberculosis and the patient responded well to anti-tubercular drugs. This case report describes a rare presentation of tubercular uterocutaneous fistula after caesarean section. Keywords: Uterocutaneous fistula, Tuberculosis, Lower-segment caesarean section 
546 |a EN 
690 |a Surgery 
690 |a RD1-811 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
655 7 |a article  |2 local 
786 0 |n Case Reports in Women's Health, Vol 17, Iss , Pp 3-4 (2018) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S2214911217300875 
787 0 |n https://doaj.org/toc/2214-9112 
856 4 1 |u https://doaj.org/article/fc6c86c46aa84673a7659b58f938c80c  |z Connect to this object online.