Tags

Type your tag names separated by a space and hit enter

Management of diverticular fistulae to the female genital tract.
Colorectal Dis. 2007 Jun; 9(5):438-42.CD

Abstract

OBJECTIVE

Fistulae to the female genital tract are an infrequent but severe complication of diverticular disease. The purpose of this study was to evaluate treatment and outcome in patients with diverticular colo-genital fistulae.

METHOD

Sixty women treated for diverticular fistulae (DF) to the female genital tract during 1992-2004 were identified. Clinic and operative charts were reviewed. Mean age was 70 years and mean follow-up time after surgery was 1 year.

RESULTS

Most common presenting symptoms were vaginal discharge of faeces or gas (95% of patients) and abdominal pain (43%). About 75% of patients had undergone a hysterectomy. Forty-six patients underwent at least one radiological contrast study and the fistula was demonstrated in 35 (76%) patients. Fifty-seven patients had surgery, and findings included colo-vaginal fistulae (n = 47), colo-uterine fistulae (n = 2) and multiple fistulae involving vagina and other organs (n = 8). A sigmoid resection and primary anastomosis was performed in 51 and a Hartmann procedure with colostomy in six patients. Sixteen (28%) patients experienced morbidity after surgery, including anastomotic dehiscence (n = 4) and ureteric injury (n = 3). There was no mortality.

CONCLUSION

Diverticular fistulae to the female genital tract usually occur in elderly patients with a prior hysterectomy. Radiological contrast studies demonstrate the fistulous tract in most cases. Sigmoid resection and primary anastomosis results in a satisfactory outcome in the majority of patients.

Authors+Show Affiliations

Hjern F
Division of Surgery, Karolinska Institutet and Department of Clinical Sciences, Danderyd Hospital, Stockholm, Sweden. fredrik.hjern@ds.se
Goldberg SM
No affiliation info available
Johansson C
No affiliation info available
Parker SC
No affiliation info available
Mellgren A
No affiliation info available

MeSH

AdultAgedAged, 80 and overAnastomosis, SurgicalColectomyDiverticulitis, ColonicFemaleFollow-Up StudiesHumansHysterectomyIntestinal FistulaMiddle AgedRetrospective StudiesTreatment OutcomeVaginaVaginal Fistula

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17504341

Citation

Hjern, F, et al. "Management of Diverticular Fistulae to the Female Genital Tract." Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland, vol. 9, no. 5, 2007, pp. 438-42.
Hjern F, Goldberg SM, Johansson C, et al. Management of diverticular fistulae to the female genital tract. Colorectal Dis. 2007;9(5):438-42.
Hjern, F., Goldberg, S. M., Johansson, C., Parker, S. C., & Mellgren, A. (2007). Management of diverticular fistulae to the female genital tract. Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland, 9(5), 438-42.
Hjern F, et al. Management of Diverticular Fistulae to the Female Genital Tract. Colorectal Dis. 2007;9(5):438-42. PubMed PMID: 17504341.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of diverticular fistulae to the female genital tract. AU - Hjern,F, AU - Goldberg,S M, AU - Johansson,C, AU - Parker,S C, AU - Mellgren,A, PY - 2007/5/17/pubmed PY - 2007/7/18/medline PY - 2007/5/17/entrez SP - 438 EP - 42 JF - Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland JO - Colorectal Dis VL - 9 IS - 5 N2 - OBJECTIVE: Fistulae to the female genital tract are an infrequent but severe complication of diverticular disease. The purpose of this study was to evaluate treatment and outcome in patients with diverticular colo-genital fistulae. METHOD: Sixty women treated for diverticular fistulae (DF) to the female genital tract during 1992-2004 were identified. Clinic and operative charts were reviewed. Mean age was 70 years and mean follow-up time after surgery was 1 year. RESULTS: Most common presenting symptoms were vaginal discharge of faeces or gas (95% of patients) and abdominal pain (43%). About 75% of patients had undergone a hysterectomy. Forty-six patients underwent at least one radiological contrast study and the fistula was demonstrated in 35 (76%) patients. Fifty-seven patients had surgery, and findings included colo-vaginal fistulae (n = 47), colo-uterine fistulae (n = 2) and multiple fistulae involving vagina and other organs (n = 8). A sigmoid resection and primary anastomosis was performed in 51 and a Hartmann procedure with colostomy in six patients. Sixteen (28%) patients experienced morbidity after surgery, including anastomotic dehiscence (n = 4) and ureteric injury (n = 3). There was no mortality. CONCLUSION: Diverticular fistulae to the female genital tract usually occur in elderly patients with a prior hysterectomy. Radiological contrast studies demonstrate the fistulous tract in most cases. Sigmoid resection and primary anastomosis results in a satisfactory outcome in the majority of patients. SN - 1462-8910 UR - https://www.unboundmedicine.com/medline/citation/17504341/Management_of_diverticular_fistulae_to_the_female_genital_tract_ DB - PRIME DP - Unbound Medicine ER -