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Obstetrics & Gynecology 2008;111:526-528
© 2008 by The American College of Obstetricians and Gynecologists
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CASE REPORTS

Medical Treatment of Uterocutaneous Fistula With Gonadotropin-Releasing Hormone Agonist Administration

Ayse Seyhan, MD1, Baris Ata, MD2, Bilhan Sidal, MD1 and Bulent Urman, MD2

From the 1Department of Obstetrics and Gynecology, Vakif Gureba Teaching Hospital and 2Women’s Health and Assisted Reproduction Unit, the American Hospital of Istanbul, Istanbul, Turkish Republic.

ABSTRACT

BACKGROUND: Uterocutaneous fistula is a rare complication of uterine surgery. All published cases have been surgically treated with hysterectomy and excision of the fistulous tract. We report a case of uterocutaneous fistula that was successfully treated with gonadotropin-releasing hormone agonist administration.

CASE: A 25-year-old woman reported bloody discharge during her periods from a previous Pfannenstiel incision. A fistulous tract leading from the incision scar to the uterus was diagnosed. Leuprolide acetate depot was administered twice subcutaneously at a dose of 11.25 mg. The fistulous tract closed spontaneously, and the patient was symptom free thereafter.

CONCLUSION: Medical treatment with gonadotropin-releasing hormone agonists should be considered before resorting to surgery for treatment of uterocutaneous fistulae.






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