title: Utero-cutaneous fistula after caesarean section secondary to red degeneration of intramural fibroid.
abstract: A 33 year-old woman had an emergency caesarean section for retained second twin which was complicated by utero-cutaneous fistula due to red degeneration of intramural fibroid. The utero-cutaneous communication was demonstrated by an examination under anaesthesia using dye test. She then underwent excision of the fistula tract and myomectomy. She recovered well following the surgery. This is the first case of utero-cutaneous fistula where the communication is between the endometrial cavity and skin lesion via a necrotic intramural fibroid following caesarean section. Fistulogram might fail to demonstrate the communication. In highly suspected case, other modalities of investigations could be utilised.
authors.affiliation: Department of O&G, Medical Faculty, Universiti Kebangsaan Malaysia Medical Center, Cheras, Kuala Lumpur Malaysia. peishan9900@yahoo.com
authors.forename: Pei Shan
authors.initials: PS
authors.lastname: Lim
authors.forename: Mohammad Nasir
authors.initials: MN
authors.lastname: Shafiee
authors.forename: Shuhaila
authors.initials: S
authors.lastname: Ahmad
authors.forename: Mohd
authors.initials: M
authors.lastname: Hashim Omar
mesh_terms: D000328:Adult; D002585:Cesarean Section; D017577:Cutaneous Fistula / Q000209:etiology*; D005260:Female; D005402:Fistula / Q000209:etiology*; D006801:Humans; D007889:Leiomyoma / Q000473:pathology*; D009336:Necrosis; D011247:Pregnancy; D011248:Pregnancy Complications / Q000473:pathology; D014591:Uterine Diseases / Q000209:etiology* / Q000473:pathology*