Uterocutaneous Fistula –A Rare Clinical Entity

Uterocutaneous fistula is a rare complication that may follow caesarean section. Herein is described a rare case of uterocutaneous fistula. The 35-year-old P3 L3 female patient presented to general surgery OPD with complaints of bleeding from sinus near the caesarean section scar site for last 2 years. She underwent three caesarean sections in the past. Laparotomy was performed. Conservative surgical treatment was successful. At 6-month follow-up, hysteroscopy revealed a normal uterine cavity. We conclude that conservative surgical treatment can be an efficient procedure.

A Rare Case Report of Spigelian Hernia

Introduction spigelian hernias (SH) represent 0.12–2.4% of all abdominal wall hernias. Its diagnosis is elusive and requires a high level of conjecture given the disease rarity, vague-associated abdominal complaints and frequent lack of consistent physical findings. Presentation of case A 40-year-old woman presented with a history of chronic pain in the right lower side of the abdomen. The patient was treated for several diseases with no relief of symptoms. Abdominal ultrasound showed an SH in the lower right abdomen and surgery was scheduled for treatment. Discussion an SH is generally an inter-parietal hernia, meaning that the pre-peritoneal fat and the hernia sac penetrate the transversus abdominis and internal oblique muscles but remain behind the external oblique aponeurosis. In most of the patients the lack of clinical signs demands the importance of radiological investigation especially high grade which is. That's the importance of the high grade of suspicion of the disease during the physical exam. The surgical repair is necessary due to the high risk of incarceration-related complications, which can occur in up to 21% of cases. Conclusion diagnostics and history of abdominal pain is important in diagnosing SH as it cause of lower abdominal pain to prompt indicate surgical repair and provide the patient's symptom relief. Also the type of repair is dependent on the surgeon's choice and also the means available in each centre.