Vesicouterine Cutaneous Fistula Post-cesarean Section — A Case Report

This case report presents the diagnosis and management of a 41-year-old woman who developed a vesicouterine cutaneous fistula after a cesarean section. She initially presented with pus discharge from the cesarean wound site, and later exhibited cyclical hematuria and fluid leakage from the skin inci...

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Main Authors: Seham M. Abufraijeh, Seif Jankhout, Basil Al-Tah, Abdallah Daradkeh, Suhaib A. Allauzy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Gynecology and Minimally Invasive Therapy
Subjects:
Online Access:https://journals.lww.com/10.4103/gmit.gmit_44_24
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author Seham M. Abufraijeh
Seif Jankhout
Basil Al-Tah
Abdallah Daradkeh
Suhaib A. Allauzy
author_facet Seham M. Abufraijeh
Seif Jankhout
Basil Al-Tah
Abdallah Daradkeh
Suhaib A. Allauzy
author_sort Seham M. Abufraijeh
collection DOAJ
description This case report presents the diagnosis and management of a 41-year-old woman who developed a vesicouterine cutaneous fistula after a cesarean section. She initially presented with pus discharge from the cesarean wound site, and later exhibited cyclical hematuria and fluid leakage from the skin incision, prompting further investigation. Diagnostic modalities, including computed tomography with contrast, confirmed the presence of a complex fistula involving the bladder, uterus, and skin. Conservative management with gonadotropin-releasing hormone therapy was attempted but discontinued due to worsening symptoms. Surgical intervention was performed successfully, leading to the resolution of symptoms. This case underscores the importance of prompt recognition and appropriate management of rare postcesarean complications, emphasizing adherence to anatomical principles.
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id doaj-art-a29150af325b45578dcabb79eec8e712
institution OA Journals
issn 2213-3070
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publishDate 2025-01-01
publisher Wolters Kluwer Medknow Publications
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series Gynecology and Minimally Invasive Therapy
spelling doaj-art-a29150af325b45578dcabb79eec8e7122025-08-20T02:05:20ZengWolters Kluwer Medknow PublicationsGynecology and Minimally Invasive Therapy2213-30702025-01-01141858810.4103/gmit.gmit_44_24Vesicouterine Cutaneous Fistula Post-cesarean Section — A Case ReportSeham M. AbufraijehSeif JankhoutBasil Al-TahAbdallah DaradkehSuhaib A. AllauzyThis case report presents the diagnosis and management of a 41-year-old woman who developed a vesicouterine cutaneous fistula after a cesarean section. She initially presented with pus discharge from the cesarean wound site, and later exhibited cyclical hematuria and fluid leakage from the skin incision, prompting further investigation. Diagnostic modalities, including computed tomography with contrast, confirmed the presence of a complex fistula involving the bladder, uterus, and skin. Conservative management with gonadotropin-releasing hormone therapy was attempted but discontinued due to worsening symptoms. Surgical intervention was performed successfully, leading to the resolution of symptoms. This case underscores the importance of prompt recognition and appropriate management of rare postcesarean complications, emphasizing adherence to anatomical principles.https://journals.lww.com/10.4103/gmit.gmit_44_24case reportcesarean sectioncomplex fistulacyclical hematuriadiagnostic imaginggonadotropin-releasing hormonesurgical managementvesicouterine cutaneous fistulawound infection
spellingShingle Seham M. Abufraijeh
Seif Jankhout
Basil Al-Tah
Abdallah Daradkeh
Suhaib A. Allauzy
Vesicouterine Cutaneous Fistula Post-cesarean Section — A Case Report
Gynecology and Minimally Invasive Therapy
case report
cesarean section
complex fistula
cyclical hematuria
diagnostic imaging
gonadotropin-releasing hormone
surgical management
vesicouterine cutaneous fistula
wound infection
title Vesicouterine Cutaneous Fistula Post-cesarean Section — A Case Report
title_full Vesicouterine Cutaneous Fistula Post-cesarean Section — A Case Report
title_fullStr Vesicouterine Cutaneous Fistula Post-cesarean Section — A Case Report
title_full_unstemmed Vesicouterine Cutaneous Fistula Post-cesarean Section — A Case Report
title_short Vesicouterine Cutaneous Fistula Post-cesarean Section — A Case Report
title_sort vesicouterine cutaneous fistula post cesarean section a case report
topic case report
cesarean section
complex fistula
cyclical hematuria
diagnostic imaging
gonadotropin-releasing hormone
surgical management
vesicouterine cutaneous fistula
wound infection
url https://journals.lww.com/10.4103/gmit.gmit_44_24
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AT seifjankhout vesicouterinecutaneousfistulapostcesareansectionacasereport
AT basilaltah vesicouterinecutaneousfistulapostcesareansectionacasereport
AT abdallahdaradkeh vesicouterinecutaneousfistulapostcesareansectionacasereport
AT suhaibaallauzy vesicouterinecutaneousfistulapostcesareansectionacasereport