Post-LSCS uterocutaneous fistula-utility of magnetic resonance imaging in its diagnosis/LSCS sonrasi uterokutan fistul-tanisinda manyetik rezonans goruntulemenin yararliligi

• Published in: Turkish journal of obstetrics and gynecology Vol. 16; no. 2; p. 133
• Main Authors: Ilyas, Mohd, Khan, Insha, Gojwari, Tariq, Dar, Musaib Ahmad, Shafi, Fahad, Shah, Obaid A
• Format: Journal Article
• Language: English
• Published: Galenos Yayinevi Tic. Ltd 01.06.2019
• Subjects: Cesarean section; Diagnosis; Diagnostic imaging; Fistulas; Magnetic resonance imaging; India
• ISSN: 2149-9322
• DOI: 10.4274/tjod.galenos.2019.29560

The present report describes one of the rarest complications of cesarean section, uterocutaneous fistula, diagnosed on magnetic resonance imaging (MRI). A 37-year-old female with history of lower segment caesarean section (LSCS) four years previously presented with a chief symptom of discharge from the right end of a Pfannenstiel incision and on further evaluation was found to have uterocutaneous fistula arising from the LSCS scar to the right end of the abdominal incision. Uterocutaneous fistula is a rare delayed complication of LSCS and MRI plays a definitive role in the accurate diagnosis and delineation of the tract. The present case highlights that although rare, uterocutaneous fistulae must be kept in mind in patients presenting with discharge from the abdominal incision site and MRI evaluation should be performed in such cases for appropriate delineation of the tract. Keywords: LSCS, uterocutaneous fistula, MRI Bu calismada; manyetik rezonans goruntuleme (MRG) ile tanisi konan ve sezaryen dogumun en nadir komplikasyonlarda biri olan uterokutan fistulun tanimlanmasi amaclanmistir. Dort yil once alt segment sezaryen oykusu (LSCS) olan 37 yasindaki kadin hasta, pfannenstiel insizyonunun sag ucundan akinti sikayeti ile basvurdu ve daha ileri degerlendirmelerde LSCS skarindan abdominal insizyonun sag ucuna kadar uterokutan fistulun oldugu tespit edildi. Uterokutanoz fistul, LSCS'nin nadir gorulen gecikmis bir komplikasyonudur ve MRG, alanin tam tanisinda ve tasvir edilmesinde belirgin rol oynamaktadir. Buradaki olgu, abdominal insizyon bolgesinde akinti nedeni ile basvuran hastalarda nadir olmasina ragmen, uterokutanoz fistulun akilda tutulmasi gerektigini ve bu gibi durumlarda alanin uygun sekilde tasvir edilmesi icin MRG degerlendirmesinin yapilmasi gerektigini vurgulamaktadir. Anahtar Kelimeler: LSCS, uterokutan fistul, MRG