Abdominal myomectomy is still considered as a good choice for women with a huge fibroid who need to maintain their reproductive function. Uterocutaneous fistula is a rarely seen complication of myomectomy procedure. In the present case, we introduced a patient who presented with uterocutaneous fistula after myomectomy procedure. A 32-year-old women presented with the complaint of pelvic pain and bulk symptoms. Her transabdominal ultrasonography revealed a giant subserosal leiomyoma and abdominal myomectomy was performed. On the 20th postoperative day, the patient presented again with hemorrhagic discharge through an opening on the abdominal incision. CT clearly demonstrated a fistula tract. The patient underwent explorative laparotomy, fistulectomy and primary repair of myometrium and discharged on the 6th postoperative day. The patient had no complaints on the third postoperative months and experiences regular menstrual cycles. Treatment with fistulectomy without hysterectomy and intravenous large spectrum antibiotics have a favorable prognosis.

Authors: Gulsah Ilhan, Hamdullah Sözen, Fatma Verda Verit, Ali Galip Zebitay, Emre Sinan Gungor, Ahmet Hasan Ergin

Key Words: Complication; fistula; fistulectomy; leiomyoma