A rare but troublesome complication of cesarean section: the uterocutaneous fistula. Report of two cases and review of literature

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY

Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI:10.1515/crpm-2021-0057

R. Cicinelli, E. Cicinelli, F. Crupano, M. Vinciguerra, Bruno Lamanna, A. Vimercati

引用次数: 0

Abstract

Abstract Objectives The occurrence of a uterocutaneous fistula (UCF) as an uncommon and severe complication of caesarean section (CS). The aim of this study was to describe two cases of UCFs after CS and to discuss about symptoms, diagnosis and treatment. Case presentation Both women few days after CS had surgical site infection, fever and elevation of lab inflammation markers. bacterial culture of the wound drainage was positive for Escherichia Coli and Enterococcus Faecalis. Conclusions Fistula between uterine and skin is a rare condition but should be considered with signs of inflammation after cesarean section; 2D/3D ultrasound evaluation appears to be useful for diagnosis of UCFs when combined with CT fistulography and MRI in order to obtain early diagnosis and, consequently, a conservative surgery.

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剖宫产术中一种罕见但棘手的并发症:子宫皮瘘。二例报告及文献复习

摘要目的探讨子宫皮瘘(UCF)是剖宫产术中一种罕见而严重的并发症。本研究的目的是描述两例CS后的ucf，并讨论症状、诊断和治疗。两名妇女在CS后几天均出现手术部位感染、发热和实验室炎症标志物升高。伤口引流液细菌培养大肠杆菌和粪肠球菌阳性。结论子宫与皮肤间瘘是一种罕见的疾病，但剖宫产术后应考虑其炎症症状;2D/3D超声评估与CT瘘管造影和MRI相结合对ucf的诊断是有用的，以便获得早期诊断，从而进行保守手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Perinatal Medicine OBSTETRICS & GYNECOLOGY-

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期刊介绍： Case Reports in Perinatal Medicine is a double-blind peer-reviewed journal. The objective of the new journal is very similar to that of JPM. In addition to evidence-based studies, practitioners in clinical practice esteem especially exemplary reports of cases that reveal specific manifestations of diseases, its progress or its treatment. We consider case reports and series to be brief reports describing an isolated clinical case or a small number of cases. They may describe new or uncommon diagnoses, unusual outcomes or prognosis, new or infrequently used therapies and side effects of therapy not usually discovered in clinical trials. They represent the basic concept of experiences for studies on representative groups for further evidence-based research. The potential roles of case reports and case series are: Recognition and description of new diseases Detection of drug side effects (adverse or beneficial) Study of mechanisms of disease Medical education and audit Recognition of rare manifestations of disease.