Uterocutaneous fistula as the primary presentation of a gynaecological malignancy

Liesel Elisabeth Hardy, Yee Leung

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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
Volume2018
DOIs
Publication statusPublished - 1 Jan 2018

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Abdominal Wall
Fistula
Endometrioid Carcinoma
Carcinoma
Drug Therapy
Neoplasms
Wounds and Injuries
Cesarean Section
Cicatrix
Biopsy

Cite this

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abstract = "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.",
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Uterocutaneous fistula as the primary presentation of a gynaecological malignancy. / Hardy, Liesel Elisabeth; Leung, Yee.

In: BMJ Case Reports, Vol. 2018, bcr-2018-224738, 01.01.2018.

Research output: Contribution to journalArticle

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N2 - 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.

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