Repair of uterocutaneous fistula.
BACKGROUND
Uterocutaneous fistula is a rare condition that may be difficult to manage.


METHODS
A young woman who underwent surgical intervention for cryptomenorrhea 3 years ago developed menstrual discharge from the abdominal scar. A fistulous tract leading from the infraumbilical midline scar to the uterus was demonstrated on contrast study. Genital examination revealed vaginal agenesis. A vaginoplasty was performed as the first stage. This was followed one year later by excision of the fistulous tract and establishment of cervicovaginal communication. The patient is now menstruating from the vaginal passage.


CONCLUSIONS
This case shows that a stepwise, well-planned, and well-executed procedure can lead to a satisfactory repair of an uterocutaneous fistula.
Shukla
Dinesh
D
Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, UP, India. vkshuklabhu@satyam.net.in
Pandey
Suruchi
S
Pandey
Lakshmi Kant
LK
Shukla
Vijay Kumar
VK
D000328:Adult; D002921:Cicatrix / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000209:etiology / Q000601:surgery*; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D008599:Menstruation Disturbances / Q000601:surgery*; D011183:Postoperative Complications; D014591:Uterine Diseases / Q000209:etiology / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*