Ileo-uterine fistula in a degenerated posterior wall fibroid after Caesarean section.
10.5653/cerm.2016.43.1.51
- Author:
Ayman SHEHATA
1
;
Naglaa HUSSEIN
;
Ahmed EL HALWAGY
;
Adel EL GERGAWY
;
Mohamed KHAIRALLAH
Author Information
1. Lecturer of Obstetrics and Gynecology, Tanta University, Tanta, Egypt. ayman.dawood@med.tanta.edu.eg
- Publication Type:Case Report
- Keywords:
Degenerated myoma;
Fistula;
Uterine fibroids
- MeSH:
Animals;
Cesarean Section*;
Estrogens;
Female;
Fistula*;
Humans;
Ileum;
Infertility;
Leiomyoma*;
Mice;
Myoma;
Myometrium;
Pregnancy;
Uterine Artery Embolization;
Uterine Hemorrhage;
Uterus
- From:Clinical and Experimental Reproductive Medicine
2016;43(1):51-53
- CountryRepublic of Korea
- Language:English
-
Abstract:
Uterine fibroids are benign tumors of the myometrium with a diverse range of manifestations. Fibroids can dramatically increase in size during pregnancy due to the increase in estrogen levels. After delivery, the fibroids usually shrink back to their pre-pregnancy size. Uterine myomas may have many complications, including abnormal uterine bleeding, infertility, pressure on nearby organs, degeneration, and malignant transformation. No previous reports have indicated that a fistula may develop between a uterine fibroid and the bowel loops, although previous studies have documented the occurrence of fistulas from the uterus to the bowel following myomectomy or uterine artery embolization performed to treat a myoma. In our case report, we document the rare complication of a fistula occurring between a degenerated myoma in the posterior wall and the ileum 1 week postoperatively in a patient who underwent a Caesarean section but did not have a history of uterine artery embolization.