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Colouterine fistula complicating diverticulitis: a case report and review of the literature.
Eur J Obstet Gynecol Reprod Biol. 2003 Sep 10; 110(1):107-10.EJ

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.

Authors+Show Affiliations

Department of Gynaecology and Obstetrics, Pavillon Mère-Enfant, Rouen University Hospital-Charles Nicolle, 1, rue de Germont, 76031 Rouen Cédex, France. loicsentilhes@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

12932884

Citation

Sentilhes, Loïc, et al. "Colouterine Fistula Complicating Diverticulitis: a Case Report and Review of the Literature." European Journal of Obstetrics, Gynecology, and Reproductive Biology, vol. 110, no. 1, 2003, pp. 107-10.
Sentilhes L, Foulatier O, Verspyck E, et al. Colouterine fistula complicating diverticulitis: a case report and review of the literature. Eur J Obstet Gynecol Reprod Biol. 2003;110(1):107-10.
Sentilhes, L., Foulatier, O., Verspyck, E., Roman, H., Scotté, M., & Marpeau, L. (2003). Colouterine fistula complicating diverticulitis: a case report and review of the literature. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 110(1), 107-10.
Sentilhes L, et al. Colouterine Fistula Complicating Diverticulitis: a Case Report and Review of the Literature. Eur J Obstet Gynecol Reprod Biol. 2003 Sep 10;110(1):107-10. PubMed PMID: 12932884.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Colouterine fistula complicating diverticulitis: a case report and review of the literature. AU - Sentilhes,Loïc, AU - Foulatier,Olivier, AU - Verspyck,Eric, AU - Roman,Horatiu, AU - Scotté,Michel, AU - Marpeau,Loïc, PY - 2003/8/23/pubmed PY - 2004/5/11/medline PY - 2003/8/23/entrez SP - 107 EP - 10 JF - European journal of obstetrics, gynecology, and reproductive biology JO - Eur J Obstet Gynecol Reprod Biol VL - 110 IS - 1 N2 - 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. SN - 0301-2115 UR - https://www.unboundmedicine.com/medline/citation/12932884/Colouterine_fistula_complicating_diverticulitis:_a_case_report_and_review_of_the_literature_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0301211503000861 DB - PRIME DP - Unbound Medicine ER -