Laparoscopic excision of tubocutaneous fistula: case report

Abstract

Gynecological fistulas that are familiar are vesicovaginal, rectovaginal and ureterovaginal fistulas, which may be due to childbirth, operative injury, tumour or radiation. Tubocutaneous fistula, is as a very rare condition secondary to tuberculosis, endometriosis, and complications of child birth and gynecological surgeries. We report a 30 year old woman with a tuberculous tubocutaneous fistula, arising from the right salphingeal tube and discharging in the lower abdomen cutaneously, who underwent laparoscopic right salpingo oophorectomy, and excision of the tract upto the skin, and the abdominal wall, with open excision of the distal part. The case is being published for its rarity, and to remind gynecologists to consider this possibility in a non-healing sinus in the lower abdomen. The authors believe this to be the first such case in literature.