PDF herunterladen
CC BY-NC-ND 4.0 · Rev Bras Ginecol Obstet 2017; 39(01): 31-34
DOI: 10.1055/s-0036-1597754
Case Report
Thieme-Revinter Publicações Ltda Rio de Janeiro, Brazil

Tubocutaneous Fistula due to Endometriosis – A Differential Diagnosis in Cutaneous Fistulas with Cyclic Secretion

Fístula tubocutânea secundária à endometriose – diagnóstico diferenciado em fístulas cutâneas com secreção cíclica
Edinari Nunes de Sousa Lopes
1   Department of Gynecology, Universidade Federal do Piauí - UFPI, Teresina, Brazil
,
Lia Cruz Vaz da Costa Damásio
1   Department of Gynecology, Universidade Federal do Piauí - UFPI, Teresina, Brazil
,
Laio Santana Passos
1   Department of Gynecology, Universidade Federal do Piauí - UFPI, Teresina, Brazil
› Institutsangaben
Weitere Informationen

Publikationsverlauf

11. Juni 2016

17. November 2016

Publikationsdatum:
28. Februar 2017 (online)

   Lizenzen und Reprints

Abstract

The development of a tubocutaneous fistula due to endometriosis in a post-cesarean section surgical scar is a rare complication that generates significant morbidity in the affected women. Surgery is the treatment of choice in these cases. Hormonal therapies may lead to an improvement in symptoms, but do not eradicate such lesions. In this report, we present a 34-year-old patient with a cutaneous fistula in the left iliac fossa with cyclic secretion. Anamnesis, a physical examination, and supplementary tests led us to suggest endometriosis as the main diagnosis, which was confirmed after surgical intervention.

Resumo

O desenvolvimento de fístula tubocutânea secundária à endometriose em cicatriz cirúrgica após cesariana é uma complicação rara, que gera importante morbidade às mulheres acometidas. A cirurgia é o tratamento de escolha nesses casos. Terapias hormonais podem conduzir a uma melhora dos sintomas, mas, de forma alguma, levam à erradicação de tais lesões. No presente relato, temos uma paciente de 34 anos de idade que apresentava uma fístula cutânea em fossa ilíaca esquerda com secreção cíclica. Anamnese, exame físico e exames complementares nos levaram a aventar como principal hipótese diagnóstica a endometriose, que foi confirmada após intervenção cirúrgica.

Keywords

gynecology - endometriosis - fistula

Palavras-chave

ginecologia - endometriose - fístula
 

  • References

  • 1 Fritz MA, Speroff L. Endocrinologia, ginecologia e infertilidade. Rio de Janeiro: Revinter; 2015
    Suche in Google Scholar
  • 2 Kuohung W, Jones GL, Vitonis AF. , et al. Characteristics of patients with endometriosis in the United States and the United Kingdom. Fertil Steril 2002; 78 (04) 767-772
    CrossrefPubMedSuche in Google Scholar
  • 3 Hediger ML, Hartnett HJ, Louis GM. Association of endometriosis with body size and figure. Fertil Steril 2005; 84 (05) 1366-1374
    CrossrefPubMedSuche in Google Scholar
  • 4 Taff L, Jones S. Cesarean scar endometriosis. A report of two cases. J Reprod Med 2002; 47 (01) 50-52
    PubMedSuche in Google Scholar
  • 5 Vercellini P, Trespidi L, De Giorgi O, Cortesi I, Parazzini F, Crosignani PG. Endometriosis and pelvic pain: relation to disease stage and localization. Fertil Steril 1996; 65 (02) 299-304
    CrossrefPubMedSuche in Google Scholar
  • 6 Koninckx PR, Meuleman C, Oosterlynck D, Cornillie FJ. Diagnosis of deep endometriosis by clinical examination during menstruation and plasma CA-125 concentration. Fertil Steril 1996; 65 (02) 280-287
    CrossrefPubMedSuche in Google Scholar
  • 7 Roncoroni L, Costi R, Violi V, Nunziata R. Endometriosis on laparotomy scar. A three-case report. Arch Gynecol Obstet 2001; 265 (03) 165-167
    CrossrefPubMedSuche in Google Scholar
  • 8 Dodero D, Corticelli A, Caporale E, Cardamone C. Endometriosis arises from implant of endometriotic cells outside the uterus: a report of active vesicouterine centrifugal fistula. Clin Exp Obstet Gynecol 2001; 28 (02) 97-99
    PubMedSuche in Google Scholar
  • 9 Floberg J, Bäckdahl M, Silferswärd C, Thomassen PA. Postpartum perforation of the colon due to endometriosis. Acta Obstet Gynecol Scand 1984; 63 (02) 183-184
    CrossrefPubMedSuche in Google Scholar
  • 10 Gupta SK, Shukla VK, Varma DN, Roy SK. Uterocutaneous fistula. Postgrad Med J 1993; 69 (816) 822-823
    CrossrefPubMedSuche in Google Scholar
  • 11 Stratton P, Winkel C, Premkumar A. , et al. Diagnostic accuracy of laparoscopy, magnetic resonance imaging, and histopathologic examination for the detection of endometriosis. Fertil Steril 2003; 79 (05) 1078-1085
    CrossrefPubMedSuche in Google Scholar
  • 12 Purvis RS, Tyring SK. Cutaneous and subcutaneous endometriosis. Surgical and hormonal therapy. J Dermatol Surg Oncol 1994; 20 (10) 693-695
    CrossrefPubMedSuche in Google Scholar
  • 13 Rivlin ME, Das SK, Patel RB, Meeks GR. Leuprolide acetate in the management of cesarean scar endometriosis. Obstet Gynecol 1995; 85 (5 Pt 2): 838-839
    CrossrefPubMedSuche in Google Scholar