TUBERCULOUS UTEROENTEROCUTANEOUS FISTULA - A RARE POSTCESAREAN COMPLICATION

A case of uteroenterocutaneous fistula which developed after lower seg ment Caesarean section is described. A total abdominal hysterectomy wi th removal of a tuboovarian mass with excision of the fistulous tract and repair of a small gut fistula were performed. The tuberculous aeti ology of this fistula was established after surgery by a positive endo metrial culture of acid fast bacilli and the demonstration of epitheli oid granulomas in the surgical specimen. Antituberculosis therapy was started and the postoperative recovery was uneventful. The description of the nature of the fistula, its rarity and its presence in a woman with unimpaired fertility are discussed.