Colo-uterine Fistula Caused by Sigmoid Diverticulitis.
- Author:
Soojung HONG
1
;
Jaekwan HWANG
;
Sungheum PARK
;
Jongheung KIM
Author Information
1. Department of Surgery, National Medical Center, Seoul, Korea. soo420@hanmail.net
- Publication Type:Case Report
- Keywords:
Colo-uterine fistula;
Sigmoid diverticulitis
- MeSH:
Aged, 80 and over;
Barium;
Colon, Sigmoid*;
Diverticulitis*;
Diverticulosis, Colonic;
Enema;
Female;
Fistula*;
Humans;
Uterus;
Vagina;
Vaginal Discharge
- From:Journal of the Korean Surgical Society
2004;66(5):435-437
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A colo-uterine fistula is a rare complication of diverticular disease, due to the resistance of the uterine tissue. Only 18 cases have been reported in the world literature. Here, a case of an 82-year-old woman, with a colo-uterine fistula secondary to diverticulitis, is described. She presented with a malodorous vaginal discharge. A barium enema revealed colonic diverticulosis with a fistula tract to the body of uterus. The clinical symptoms were not specific, with the exception of the purulent material and stools from the vagina. A Sigmoidectomy, with fistula tract removal, and simple closure of the uterus was performed curatively.
