Abstract

A uterocutaneous fistula is a rare clinical presentation that occurs following cesarean section or any other pelvic surgery. We describe a case of uterocutaneous fistula with successful surgical management. A 25-year woman was referred to our hospital with complaints of cyclical bleeding from lower segment cesarean section scar (LSCS scar). It was diagnosed as uterocutaneous fistula on ultrasonography and computed tomography. The fistula tract was excised. Histopathology report was suggestive of sinus tract due to tuberculous etiology. Patient was started on antituberculous treatment. Recovery was uneventful.

Abstract

Bilateral tubal ectopic pregnancy is very rare, spontaneous cases being exceptional. Here, the authors report a case of spontaneous bilateral tubal ectopic pregnancy of 10-weeks gestation diagnosed and managed at Bharatratna Dr. Babasaheb Ambedkar Municipal and General Hospital, Kandivali, Mumbai. A 29-year-old, G2P1L1 patient presented in the emergency department with 3-months amenorrhea, abdominal pain and vaginal bleeding. Urine pregnancy test was positive, and an emergency ultrasound done revealed bilateral tubal ectopic pregnancies of 10-weeks size with hemoperitoneum. Emergency exploration was done, and a right-sided ruptured ampullary ectopic pregnancy with a left-sided ruptured fimbrial ectopic pregnancy was found with hemoperitoneum. Bilateral salpingectomy was performed, and patient recovered well postoperatively.

See Figs 1 and 2.

Abstract

Pemphigoid gestationis is a rare subepidermal bullous dermatosis of pregnancy, caused by the interaction of IgG1 autoantibodies with 180 kD BP Antigen 2. This disease can lead to preterm delivery, but the neonate is affected in only 10% cases. The treatment of choice in pemphigoid gestationis is systemic corticosteroids.

Imaging in Uncommon Pelvic Complications of Pregnancy: A Pictorial Essay

Body stalk anomaly, with a prevalence of 0.12 in 10,000 births, occurs when abdominal organs develop outside the abdominal cavity while remaining attached to the placenta in the fetus. This article relates to a rare case of Body Stalk anomaly detected in the first trimester of pregnancy. The images presented are characteristic to the anomaly. A postnatal evaluation confirmed the findings and helped in comprehensive counseling of the patient.