Tubocutaneous Fistula due to Endometriosis - A Differential Diagnosis in Cutaneous Fistulas with Cyclic Secretion - Revista Brasileira de Ginecologia e Obstetrícia
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.
Lopes ENS, Damásio LCVC, Passos LS. Tubocutaneous Fistula due to Endometriosis – A Differential Diagnosis in Cutaneous Fistulas with Cyclic Secretion. Revista Brasileira de Ginecologia e Obstetrícia 2017;39(1):31-4.
Electronic Document Format (ABNT)
Lopes, Edinari Nunes de Sousa; Damásio, Lia Cruz Vaz da Costa; Passos, Laio Santana. Tubocutaneous Fistula due to Endometriosis – A Differential Diagnosis in Cutaneous Fistulas with Cyclic Secretion. Revista Brasileira de Ginecologia e Obstetrícia, v. 39, n. 1, p. 31-34, Jan. 2017.
Electronic Document Format (APA)
Lopes, E. N. S., Damásio, L. C. V. C., & Passos, L. S. (2017). Tubocutaneous Fistula due to Endometriosis – A Differential Diagnosis in Cutaneous Fistulas with Cyclic Secretion. Revista Brasileira de Ginecologia e Obstetrícia, 39(1), 31-34.
Electronic Document Format (ISO)
Lopes, Edinari Nunes de Sousa and Damásio, Lia Cruz Vaz da Costa and Passos, Laio Santana. Tubocutaneous Fistula due to Endometriosis – A Differential Diagnosis in Cutaneous Fistulas with Cyclic Secretion. Revista Brasileira de Ginecologia e Obstetrícia [online]. 2017, vol. 39, n. 1, [cited 2024-11-21], pp.31-34. Available from: <https://journalrbgo.org/article/tubocutaneous-fistula-due-to-endometriosis-a-differential-diagnosis-in-cutaneous-fistulas-with-cyclic-secretion/>.
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Fig. 4 | Abdominal ultrasound showing a hypoechoic tract located in the left inguinal region (panel A); a hypoechoic area located in the subcutaneous tissue, suggesting fluid collection, and showing communication with the external environment through the aforementioned tract (panel B); and a second hypoechoic area, showing communication with the aforementioned lesion, located close to the abdominal and internal oblique rectal muscles, suggestive of fluid collection (panel C).
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