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Laparoscopic Management of Post-Cesarean Section Uterocutaneous Fistula

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Abstract

A uterocutaneous fistula is a rare clinical presentation that occurs following cesarean section or any other pelvic surgery. We describe a case of uterocutaneous fistula with successful surgical management. A 25-year woman was referred to our hospital with complaints of cyclical bleeding from lower segment cesarean section scar (LSCS scar). It was diagnosed as uterocutaneous fistula on ultrasonography and computed tomography. The fistula tract was excised. Histopathology report was suggestive of sinus tract due to tuberculous etiology. Patient was started on antituberculous treatment. Recovery was uneventful.

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Authors and Affiliations

  1. Vardann Multispeciality Hospital, Poisar, Kandivali West, Mumbai, India

    Nitin Shah (Director)

  2. Department of Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India

    Pradnya Changede (Assistant Professor)

  3. Department of Obstetrics and Gynaecology, Seth. G.S. Medical College and K.E.M. Hospital, Mumbai, India

    Vibha More (Assistant Professor)

Authors
  1. Nitin Shah
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  2. Pradnya Changede
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  3. Vibha More
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Contributions

NS has operated this case, searched literature and done the final proof reading of this article; PC who has done fellowship in laparoscopy under Dr. Nitin Shah has written this article, done literature search and helped in proof reading this article; and VM who has done fellowship in laparoscopy under Dr. Nitin Shah has assisted this case, done literature search and helped in proof reading this article.

Corresponding author

Correspondence to Pradnya Changede.

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We have no conflict of interest or financial interests for the article.

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We authors hereby declare that we have taken the informed consent from the patient.

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Dr. Nitin Shah has done his under graduation and post-graduation from Seth. G.S.M.C and K.E.M. Hospital. At present, he is working as consultant gynaec laparoscopic surgeon. He is the director of Vardann Multispeciality Hospital, Poisar, Kandivali West, Mumbai. He is scientific secretary of A.F.G. and managing committee member of I.A.G.E. He is the holder of 10 world records for his laparoscopic surgeries. He is recipient of golden hand award. He has published the highest number of cover page laparoscopic photo articles in J.O.G.I. He has more than 50 publications both national and international to his credit. He has won various awards and prizes at many national and international conferences.

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Shah, N., Changede, P. & More, V. Laparoscopic Management of Post-Cesarean Section Uterocutaneous Fistula. J Obstet Gynecol India 69, 380–382 (2019). https://doi.org/10.1007/s13224-018-1197-2

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  • DOI: https://doi.org/10.1007/s13224-018-1197-2

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