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Background <p>Utero-cutaneous fistula is an exceptionally rare pathological communication between the uterine cavity and the skin, most commonly reported following obstetric or gynaecological surgical procedures. Tuberculosis as an underlying aetiology is even rarer.</p> Case Summary <p>We report the case of a 32-year-old woman, para 4, living 4, with a history of postpartum tubal ligation performed 2 years earlier, who presented with complaints of pain abdomen increased in intensity since the last 6 days, chronic purulent discharge from a lower abdominal sinus for one and a half years and secondary amenorrhoea for 2 years. Magnetic resonance imaging demonstrated a fistulous tract extending from the anterior uterine wall to the abdominal wall. Microbiological evaluation of the sinus discharge was positive for Mycobacterium tuberculosis on GeneXpert testing. She was treated with a full six-month course of standard anti-tubercular therapy, along with antibiotics and local wound care. The fistula healed completely; menstruation resumed 6 months after initiation of therapy.</p> Conclusion <p>This case highlights the importance of considering tuberculosis in the differential diagnosis of chronic discharging sinus tracts in endemic regions and demonstrates that non-surgical management can be effective in selected patients.</p>

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Utero-cutaneous Fistula Secondary to Abdominal Tuberculosis: A Rare Case

  • 期刊论文

  • 发表日期：

    2026年4月3日

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  • Karubaki Utkalika,
  • Himangi S. Warke,
  • Durga Valvi

摘要

Background

Utero-cutaneous fistula is an exceptionally rare pathological communication between the uterine cavity and the skin, most commonly reported following obstetric or gynaecological surgical procedures. Tuberculosis as an underlying aetiology is even rarer.

Case Summary

We report the case of a 32-year-old woman, para 4, living 4, with a history of postpartum tubal ligation performed 2 years earlier, who presented with complaints of pain abdomen increased in intensity since the last 6 days, chronic purulent discharge from a lower abdominal sinus for one and a half years and secondary amenorrhoea for 2 years. Magnetic resonance imaging demonstrated a fistulous tract extending from the anterior uterine wall to the abdominal wall. Microbiological evaluation of the sinus discharge was positive for Mycobacterium tuberculosis on GeneXpert testing. She was treated with a full six-month course of standard anti-tubercular therapy, along with antibiotics and local wound care. The fistula healed completely; menstruation resumed 6 months after initiation of therapy.

Conclusion

This case highlights the importance of considering tuberculosis in the differential diagnosis of chronic discharging sinus tracts in endemic regions and demonstrates that non-surgical management can be effective in selected patients.