Uterocutaneous fistula as the primary presentation of a gynaecological malignancy

Liesel Elisabeth Hardy, Yee Leung

Research output: Contribution to journalReview articlepeer-review

2 Citations (Scopus)


We report a case of high-grade gynaecological carcinoma presenting as a uterocutaneous fistula. A 59-year-old woman presented with a discharging abdominal wall wound. Imaging confirmed a large solid pelvic mass forming a sinus tract with the anterior abdominal wall. The tract tunnelled through a previous caesarean section scar. Biopsy indicated a high-grade gynaecological carcinoma, with features suggestive of endometrioid adenocarcinoma. The patient underwent two cycles of chemotherapy. Despite this, the mass increased in size and was complicated by abdominal wall wound breakdown. Chemotherapy was ceased. Surgical and palliative options are under consideration.

Original languageEnglish
Article numberbcr-2018-224738
JournalBMJ Case Reports
Publication statusPublished - 1 Jan 2018


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