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Tubercular uterocutaneous fistula after caesarean section: A case report
A 29-year-old patient had undergone an elective lower-segment caesarean section (LSCS) five months previously at a district hospital. The operation and the immediate postoperative period were uneventful. After five months she presented back with a fistulous opening. A fistulogram revealed a connecti...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5869061/ https://www.ncbi.nlm.nih.gov/pubmed/29594005 http://dx.doi.org/10.1016/j.crwh.2018.02.001 |
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author | Jindal, Aditi Chaudhary, Himanshu Thakur, Monika |
author_facet | Jindal, Aditi Chaudhary, Himanshu Thakur, Monika |
author_sort | Jindal, Aditi |
collection | PubMed |
description | A 29-year-old patient had undergone an elective lower-segment caesarean section (LSCS) five months previously at a district hospital. The operation and the immediate postoperative period were uneventful. After five months she presented back with a fistulous opening. A fistulogram revealed a connection between the uterus and the skin. Fistulous tract excision was planned. Intraoperatively there was communication between the skin and the uterine cavity, with extensive necrosis of the uterine wall. The patient gave her informed consent for excision of the fistulous tract and/or total abdominal hysterectomy. During surgery, it was deemed that there was no scope for excision, so the decision was made for a total abdominal hysterectomy. Histopathological examination confirmed tuberculosis and the patient responded well to anti-tubercular drugs. This case report describes a rare presentation of tubercular uterocutaneous fistula after caesarean section. |
format | Online Article Text |
id | pubmed-5869061 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-58690612018-03-28 Tubercular uterocutaneous fistula after caesarean section: A case report Jindal, Aditi Chaudhary, Himanshu Thakur, Monika Case Rep Womens Health Article A 29-year-old patient had undergone an elective lower-segment caesarean section (LSCS) five months previously at a district hospital. The operation and the immediate postoperative period were uneventful. After five months she presented back with a fistulous opening. A fistulogram revealed a connection between the uterus and the skin. Fistulous tract excision was planned. Intraoperatively there was communication between the skin and the uterine cavity, with extensive necrosis of the uterine wall. The patient gave her informed consent for excision of the fistulous tract and/or total abdominal hysterectomy. During surgery, it was deemed that there was no scope for excision, so the decision was made for a total abdominal hysterectomy. Histopathological examination confirmed tuberculosis and the patient responded well to anti-tubercular drugs. This case report describes a rare presentation of tubercular uterocutaneous fistula after caesarean section. Elsevier 2018-03-10 /pmc/articles/PMC5869061/ /pubmed/29594005 http://dx.doi.org/10.1016/j.crwh.2018.02.001 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article Jindal, Aditi Chaudhary, Himanshu Thakur, Monika Tubercular uterocutaneous fistula after caesarean section: A case report |
title | Tubercular uterocutaneous fistula after caesarean section: A case report |
title_full | Tubercular uterocutaneous fistula after caesarean section: A case report |
title_fullStr | Tubercular uterocutaneous fistula after caesarean section: A case report |
title_full_unstemmed | Tubercular uterocutaneous fistula after caesarean section: A case report |
title_short | Tubercular uterocutaneous fistula after caesarean section: A case report |
title_sort | tubercular uterocutaneous fistula after caesarean section: a case report |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5869061/ https://www.ncbi.nlm.nih.gov/pubmed/29594005 http://dx.doi.org/10.1016/j.crwh.2018.02.001 |
work_keys_str_mv | AT jindaladiti tubercularuterocutaneousfistulaaftercaesareansectionacasereport AT chaudharyhimanshu tubercularuterocutaneousfistulaaftercaesareansectionacasereport AT thakurmonika tubercularuterocutaneousfistulaaftercaesareansectionacasereport |