{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T06:48:34Z","timestamp":1777704514613,"version":"3.51.4"},"reference-count":0,"publisher":"African Journal of Reproductive Health (AJRH)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AJRH"],"published-print":{"date-parts":[[2026,4,30]]},"abstract":"<jats:p>Uterocutaneous fistula following cesarean delivery is an exceptionally rare complication, defined by an abnormal tract between the uterine cavity and the abdominal scar. We report a 28-year-old woman who presented three months and half after a cesarean section with cyclical bloody discharge from a Pfannenstiel scar, preceded by a superficial wound infection. Pelvic magnetic resonance imaging (MRI) precisely delineated the tract, revealing a 21 mm anterior uterine wall defect communicating with a 25 mm subcutaneous collection, and informed surgical planning. Management included complete fistulectomy with layered uterine repair, followed by a three month course of a gonadotropin-releasing hormone (GnRH) analogue. Postoperative recovery was uneventful, with no recurrence during follow-up. This case highlights an infection-associated delayed presentation and illustrates the value of quantitative MRI mapping combined with short-course hormonal suppression to achieve durable closure while preserving fertility.<\/jats:p>","DOI":"10.29063\/ajrh2026\/v30i8.12","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T09:41:20Z","timestamp":1777455680000},"page":"140-146","source":"Crossref","is-referenced-by-count":0,"title":["Diagnosis and management of uterocutaneous fistula following cesarean section: A case report"],"prefix":"10.29063","volume":"30","author":[{"given":"Jawaher","family":"Hammadi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soukeina","family":"Jaballah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasmine B.","family":"Ali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jihene B.","family":"Haj","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nour","family":"Rouis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samar","family":"Knaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sana","family":"Ghades","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed R.","family":"Fatnassi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"11599","published-online":{"date-parts":[[2026,4,30]]},"container-title":["African Journal of Reproductive Health"],"original-title":[],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T09:41:23Z","timestamp":1777455683000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajrh.info\/index.php\/ajrh\/article\/view\/6958"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,30]]},"references-count":0,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,4,30]]},"published-print":{"date-parts":[[2026,4,30]]}},"URL":"https:\/\/doi.org\/10.29063\/ajrh2026\/v30i8.12","relation":{},"ISSN":["1118-4841"],"issn-type":[{"value":"1118-4841","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4,30]]}}}