case_images: PMC8449720_01
case_images: Carbuncle in the right iliac fossa.
case_images: CRIOG2021-3255188.001.jpg
case_images: PMC8449720_01_CRIOG2021-3255188.001.jpg
case_images: fig1
case_images: 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).
case_images: Sagittal and axial MPR reconstruction. Portal phase after iodine contrast injection. The blue arrow shows UCF. The red arrow shows uterine wall defect.
case_images: CRIOG2021-3255188.002.jpg
case_images: PMC8449720_01_CRIOG2021-3255188.002.jpg
case_images: fig2
case_images: 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).
case_images: 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.
case_images: CRIOG2021-3255188.003.jpg
case_images: PMC8449720_01_CRIOG2021-3255188.003.jpg
case_images: fig3
case_images: 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.