Document Type : Case reports

Authors

• Donya Khosravi ¹
• Maliheh Arab ^{2, 3}
• Behnaz Ghavami ⁴
• Maryam Shokrpour ⁵
• Samaneh Sheibani ¹
• Samaneh Saraeian ¹

¹ Assistant of Obstetrics and Gynecology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran

² Professor of Gynecology-oncology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran

³ PhD of Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran

⁴ Shariati Medical Center, Tehran University of Medical Sciences, Tehran, IR Iran

⁵ Assistant Professor of Obstetrics and Gynecology, Arak University of Medical Sciences, Arak, IR Iran

Abstract

Introduction: This was a report of uterocutaneous fistula as a rare complication of expectant management of placenta increta, and a review of the literature.
Case Presentation: A 38- year- old pregnant woman in her third term of pregnancy was operated on in a secondary hospital in Arak (a city located in the center of Iran) in April 2015. As a result of placenta incereta, the attached placenta was left in the uterus. On the 38th day, she was referred to our tertiary care hospital due to intermittent fever and bleeding. More examinations by MRI and hystrosalpingography revealed uterocutaneous fistula. She was operated on again, and surgical findings indicated coexistent uterine necrosis and uterocutaneous fistula.
Conclusions: This case was the first reported morbidity of fistula in the uterocutaneous pathway.

Keywords

• Placenta Accreta
• Fistula
• Disease Management
• Iran