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Colouterine Fistula: A Rare Presentation of Severe Diverticular Disease.
Cureus
November 2024
General Surgery, Mon Health Medical Center, Morgantown, USA.
Colouterine fistula as a sequela of diverticulitis is an extremely rare complication due to the extraordinarily thick layer of myometrium of the uterus. Because of this, an aggressive clinical evaluation is required to rule out other potential causes of fistula formation such as malignancy. However, imaging and laboratory techniques may be inconclusive, and surgery with pathologic analysis may be required for a definitive diagnosis.
View Article and Find Full Text PDFA case report of a colouterine fistula due to sigmoid diverticulitis.
J Surg Case Rep
September 2024
Department of General Surgery, Virginia Mason Medical Center, Ninth and Seneca Street, Seattle, WA 98101, United States.
Colouterine fistulas are generally seen in post-menopausal patients and present with abdominal pain and non-physiologic vaginal drainage. A history of uterine pathology or diverticulitis is generally lacking. Visualization of the passage of contrast from the gastrointestinal tract to the uterus is not necessary to make the diagnosis.
View Article and Find Full Text PDFEmergency treatment of colouterine fistula.
Tech Coloproctol
September 2024
General Surgery Department, Carlo Poma Hospital ASST-MANTOVA, Mantoa, Italy.
Colo-salpingeal fistula: a rare gynecologic manifestation of diverticular disease.
Arch Gynecol Obstet
September 2024
California Northstate University College of Medicine, 9700 W Taron Dr, Elk Grove, CA, 95757, USA.
Article Synopsis
- Diverticulitis can lead to fistulas, often causing serious health issues, with this case focusing on a rare colo-salpingeal fistula presenting unusual symptoms like vaginal flatulence.
- A 63-year-old woman with persistent diverticulitis experienced vaginal flatulence, which was linked to a colo-salpingeal fistula diagnosed through CT imaging and managed with surgery.
- The case emphasizes the need for awareness of uncommon gynecologic symptoms tied to diverticular disease and advocates for a collaborative medical approach for effective diagnosis and treatment.
Colouterine Fistula as a Rare Cause of Postmenopausal Abnormal Uterine Bleeding: A Case Report.
J Clin Med
January 2024
Gynecological Department, Local Health Unit of Alto Minho, 4904-858 Viana do Castelo, Portugal.
Article Synopsis
- Postmenopausal abnormal uterine bleeding is common and often indicates the need for investigation due to potential malignant lesions, but other causes must also be considered.
- A rare case of colouterine fistula due to chronic diverticulitis was presented, resulting from a diverticular abscess that caused a connection between the colon and uterus.
- Diagnosis can be challenging, often confirmed during surgery, but treatment options like en bloc resection lead to excellent recovery outcomes, underscoring the need for awareness of unusual causes of uterine bleeding.
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