A case report of a colouterine fistula due to sigmoid diverticulitis.

J Surg Case Rep

Department of General Surgery, Virginia Mason Medical Center, Ninth and Seneca Street, Seattle, WA 98101, United States.

Published: September 2024

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. We present the case of a 44-year-old woman successfully treated for a colouterine fistula due to sigmoid diverticulitis. A variety of surgical approaches have been described to correct this fistula, and a minimally invasive colectomy without ileostomy or colostomy appears to be a safe approach.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11419314PMC
http://dx.doi.org/10.1093/jscr/rjae596DOI Listing

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