PMC8449720_01
Carbuncle in the right iliac fossa.
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fig1
In early February 2020, after 4 months of persistent abdominal pain, she presented in our institution because a carbuncle in her right iliac fossa had appeared (Figure 1).
Sagittal and axial MPR reconstruction. Portal phase after iodine contrast injection. The blue arrow shows UCF. The red arrow shows uterine wall defect.
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fig2
An abdominal CT scan identified a uterocutaneous fistula with a 7.5 x 7.5 x 11 cm intrauterine collection draining from the right antero-lateral uterine fundus to the abdominal wall (Figure 2).
The blue arrow shows fistulae's tract (from the right uterine fundus to the skin) after its excision, before hysterectomy. The green star shows the uterus.
CRIOG2021-3255188.003.jpg
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fig3
As she was in favor of a radical treatment, a total hysterectomy with bilateral salpingectomy by midline laparotomy was performed.  Figure 3 shows the excision of the fistula tract right before the hysterectomy.