Uterocutaneous fistula after surgical treatment of an incomplete abortion: methylene blue test to verify the diagnosis.
BACKGROUND
Uterocutaneous fistula is an extremely rare clinical condition that can be seen after pelvic or uterine surgery. It can also complicate some obstetric procedures.


METHODS
We report of an unusual case of an uterocutaneous fistula that developed in a multiparous woman after surgical evacuation of an incomplete first trimester septic abortion. The fistula tract was depicted on computed tomography, and to verify the diagnosis methylene blue was given through a transcervically introduced uterine catheter, and blue dye flow out through the external opening of fistula was observed. At laparatomy fistula tract was completely excised along with the enclosing omentum. Postoperative recovery and follow-up were uneventful.


CONCLUSIONS
Possible mechanisms of development of such a rare condition, and diagnostic and treatment options are discussed.
Sönmezer
Murat
M
Department of Obstetrics and Gynecology, Ankara University School of Medicine, Cebeci, Ankara, Turkey. msonmezer@gmail.com
Sahincioğlu
Ozgür
O
Cetinkaya
Esra
E
Yazici
Funda
F
D034861:Abdominal Wall; D000027:Abortion, Incomplete / Q000601:surgery*; D000328:Adult; D002585:Cesarean Section; D002921:Cicatrix / Q000503:physiopathology / Q000601:surgery; D005260:Female; D005402:Fistula / Q000175:diagnosis* / Q000601:surgery; D006470:Hemorrhage; D006801:Humans; D008598:Menstruation; D008751:Methylene Blue; D011183:Postoperative Complications / Q000175:diagnosis*; D011247:Pregnancy; D014591:Uterine Diseases / Q000175:diagnosis* / Q000601:surgery
D008751:Methylene Blue