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Unusual association of diseases/symptoms
CASE REPORT
Uterocutaneous fistula as the primary presentation of a gynaecological malignancy
  1. Liesel Elisabeth Hardy1,
  2. Yee Leung1,2
  1. 1 Department of Gynaecological Oncology, King Edward Memorial Hospital for Women, Perth, Western Australia, Australia
  2. 2 School of Women’s and Infants’ Health, University of Western Australia, Perth, Western Australia, Australia
  1. Correspondence to Dr Liesel Elisabeth Hardy, lieselhardy{at}ymail.com

Summary

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.

  • obstetrics and gynaecology
  • gynecological cancer

https://doi.org/10.1136/bcr-2018-224738

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    Footnotes

    • Contributors LEH wrote the report and is the guarantor. YL edited and reviewed the report.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.