Uterocutaneous fistula following cesarean section: a case report - Report - MDSpire

Uterocutaneous fistula following cesarean section: a case report

  • By

  • Shahd Khatib

  • Nardeen Hammad

  • Shahd Al Aloul

  • Waleed Malhes

  • Ibaa Barghouthi

  • June 4, 2026

  • 0 min

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Clinical Report: Uterocutaneous Fistula Development After Cesarean Delivery

Overview

This case report describes a 37-year-old woman who developed a uterocutaneous fistula following an elective cesarean delivery. Despite initial antibiotic treatment, surgical intervention was required to manage the persistent symptoms and complications.

Background

Expand on the rarity of uterocutaneous fistulas and their impact on maternal health.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

  • The patient had a significant obstetric history, including multiple cesarean sections and complications such as gestational diabetes.
  • Persistent purulent discharge from the cesarean scar was noted approximately two months post-surgery.
  • Imaging studies, including pelvic MRI, confirmed the diagnosis of a uterocutaneous fistula.
  • Surgical intervention was necessary due to the failure of antibiotic therapy to resolve symptoms.
  • A total hysterectomy was performed, and the patient was discharged in stable condition within a week.

Clinical Implications

Healthcare providers should maintain a high index of suspicion for uterocutaneous fistulas in patients with a history of cesarean deliveries presenting with abnormal discharge. Multidisciplinary approaches may be beneficial in managing complex cases effectively.

Conclusion

This case highlights the importance of recognizing and addressing rare postoperative complications such as uterocutaneous fistulas to improve patient care and outcomes.

Related Resources & Content

  1. Factors Influencing Treatment Outcomes in Enterovaginal Fistula Cases, Springer, 2023 -- Factors Influencing Treatment Outcomes in Enterovaginal Fistula Cases
  2. Spontaneous gastrocutaneous fistula presenting as a long-standing abdominal wall nodule: a case report, Frontiers in Medicine, 2026 -- Spontaneous gastrocutaneous fistula presenting as a long-standing abdominal wall nodule: a case report
  3. Durability of Ileal Pouch Function Following Urinary Tract Fistula Formation, Techniques in Coloproctology, 2024 -- Durability of Ileal Pouch Function Following Urinary Tract Fistula Formation
  4. A Colorectal Surgeon's Guide to Transvaginal Management of Rectovaginal Fistulae: Technical Insights and Case Studies, Techniques in Coloproctology, 2018 -- A Colorectal Surgeon's Guide to Transvaginal Management of Rectovaginal Fistulae: Technical Insights and Case Studies
  5. Uterocutaneous Fistula following cesarean section: A Case report, Frontiers, 2026 -- Uterocutaneous Fistula following cesarean section: A Case report
  6. Use of Prophylactic Antibiotics in Labor and Delivery, ACOG -- Use of Prophylactic Antibiotics in Labor and Delivery
  7. Uterocutaneous Fistula following cesarean section: A Case report
  8. Use of Prophylactic Antibiotics in Labor and Delivery | ACOG

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