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Ovarian new growth creating a cutaneous fistula: A case report

Glaiza S. de Guzman, MD and Margaret Joyce C. Limson, MD, FPOGS
Department of Obstetrics and Gynecology, Philippine General Hospital, University of the Philippines-Manila

Ovarian new growths are among the most common tumors in women. Their presentation at time of diagnosis vary and are often incidental findings on ultrasound examination. Complications of ovarian masses include torsion, rupture, infection, hemorrhage, and malignant degeneration. These masses have also been known to create fistulous tracts to other organs of the body. Entero-adnexal communications have been reported in literature. However, fistula formation to the skin has not yet been reported. Here, we present an adult woman diagnosed to have ovarian new growth and a one-year history of serous discharge from a skin lesion. Imaging studies show a fistulous connection to the abdominopelvic mass. She underwent excision of the mass with fistulectomy. This is the first reported case of an ovarian new growth which created a cutaneous fistula.