Abstract
Colouterine fistula, secondary to diverticulitis, is an extremely rare complication,
and only few cases have been reported in the literature. We report the case of 76-year-old
woman, who presented with vaginal discharge over a three-month period. Pelvic examination
and laboratory investigations suggested a colouterine fistula, that was confirmed
by non-invasive imaging. Surgical treatment was a one-stage, en bloc resection of
the uterus and sigmoid colon. In the presence of severe inflammatory reaction or paracolic
abscess, a two-stage procedure should be safer. Otherwise, a one-stage procedure,
en bloc resection of the uterus and sigmoid colon is preferred, as we cannot rule
out a malignancy prior to surgery.
Keywords
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Article info
Publication history
Accepted:
January 4,
2003
Received:
November 20,
2002
Identification
Copyright
© 2003 Elsevier Science Ireland Ltd. Published by Elsevier Inc. All rights reserved.
