An Unusual Case of Post-Cesarean Amenorrhea Due to Posterior Cervicoperitoneal Fistula: Biologic Plausibility and Laparoscopic Management

Abstract

Background:

An anterior uteroperitoneal fistula, or isthmocele, is an increasingly recognized complication of a cesarean section. A posterior uteroperitoneal fistula developing after a cesarean section had not been described, prior to this current article.

Case:

A 26-year-old female presented 16 months after a cesarean section with amenorrhea and pelvic pain. She had a posterior cervicoperitoneal fistula, with a hematoma collection between the posterior cervix and peritoneum.

Results:

The patient's fistula was repaired laparoscopically, leading to complete resolution of her symptoms.

Conclusions:

A cervicoperitoneal fistula, or posterior uteroperitoneal fistula, is a potentially new type of complication after a cesarean section. Laparoscopic management is an ideal way to treat this complication with reduced morbidity.