Clinical and Experimental Reproductive Medicine  2016;43(1):51-53

doi:10.5653/cerm.2016.43.1.51

Ileo-uterine fistula in a degenerated posterior wall fibroid after Caesarean section.

Ayman SHEHATA 1 ; Naglaa HUSSEIN ; Ahmed EL HALWAGY ; Adel EL GERGAWY ; Mohamed KHAIRALLAH

Affiliations

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Keywords

Degenerated myoma; Fistula; Uterine fibroids

Country

Republic 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.