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Laparoscopic sigmoidectomy combined with uterus excision for colouterine fistula caused by sigmoid colon diverticulitis: A case report.
Asian J Endosc Surg. 2017 Nov; 10(4):415-419.AJ

Abstract

A case of colouterine fistula caused by colonic diverticulitis that was successfully treated laparoscopically is presented. A 74-year-old woman visited us with lower abdominal discomfort and vaginal excretion with minor fecal contamination. Mild tenderness was observed in her lower abdomen. Blood examinations revealed elevated white blood cell count and C-reactive protein. Sigmoid colon diverticulitis was revealed on CT, and her condition was diagnosed as colouterine fistula. Hinchey classification was stage I. After 2 weeks of conservative therapy, her symptoms were reduced, and the white blood cell count and C-reactive protein level decreased. However, fecal contaminated vaginal excretion continued. The patient underwent laparoscopic sigmoidectomy combined with uterus excision, and she has been in good health for the 3 years since the operation. Although colouterine fistula is usually treated with open surgery, patients with controlled and well-localized inflammation may be good candidates for a laparoscopic approach.

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Authors+Show Affiliations

Arakawa S
Department of Gastroenterological Surgery, School of Medicine, Fujita Health University Banbuntane Houtokukai Hospital, Nagoya, Japan.
Morise Z
Department of Surgery, Fujita Health University School of Medicine, Toyoake, Japan.
Isetani M
Department of Gastroenterological Surgery, School of Medicine, Fujita Health University Banbuntane Houtokukai Hospital, Nagoya, Japan.
Tomishige H
Department of Gastroenterological Surgery, School of Medicine, Fujita Health University Banbuntane Houtokukai Hospital, Nagoya, Japan.
Kawabe N
Department of Gastroenterological Surgery, School of Medicine, Fujita Health University Banbuntane Houtokukai Hospital, Nagoya, Japan.
Nagata H
Department of Gastroenterological Surgery, School of Medicine, Fujita Health University Banbuntane Houtokukai Hospital, Nagoya, Japan.
Asano Y
Department of Gastroenterological Surgery, School of Medicine, Fujita Health University Banbuntane Houtokukai Hospital, Nagoya, Japan.
Kawase J
Department of Gastroenterological Surgery, School of Medicine, Fujita Health University Banbuntane Houtokukai Hospital, Nagoya, Japan.
Kamio K
Department of Gastroenterological Surgery, School of Medicine, Fujita Health University Banbuntane Houtokukai Hospital, Nagoya, Japan.
Imaeda Y
Department of Gastroenterological Surgery, School of Medicine, Fujita Health University Banbuntane Houtokukai Hospital, Nagoya, Japan.
Umemoto S
Department of Surgery, Tomita Hospital, Okazaki, Japan.
Ikeda M
Department of Surgery, Kouseikai Hospital, Toyohashi, Japan.
Horiguchi A
Department of Gastroenterological Surgery, School of Medicine, Fujita Health University Banbuntane Houtokukai Hospital, Nagoya, Japan.

MeSH

AgedDiverticulitis, ColonicFemaleHumansHysterectomyIntestinal FistulaLaparoscopySigmoid DiseasesUterine Diseases

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

28557372

Citation

Arakawa, Satoshi, et al. "Laparoscopic Sigmoidectomy Combined With Uterus Excision for Colouterine Fistula Caused By Sigmoid Colon Diverticulitis: a Case Report." Asian Journal of Endoscopic Surgery, vol. 10, no. 4, 2017, pp. 415-419.
Arakawa S, Morise Z, Isetani M, et al. Laparoscopic sigmoidectomy combined with uterus excision for colouterine fistula caused by sigmoid colon diverticulitis: A case report. Asian J Endosc Surg. 2017;10(4):415-419.
Arakawa, S., Morise, Z., Isetani, M., Tomishige, H., Kawabe, N., Nagata, H., Asano, Y., Kawase, J., Kamio, K., Imaeda, Y., Umemoto, S., Ikeda, M., & Horiguchi, A. (2017). Laparoscopic sigmoidectomy combined with uterus excision for colouterine fistula caused by sigmoid colon diverticulitis: A case report. Asian Journal of Endoscopic Surgery, 10(4), 415-419. https://doi.org/10.1111/ases.12378
Arakawa S, et al. Laparoscopic Sigmoidectomy Combined With Uterus Excision for Colouterine Fistula Caused By Sigmoid Colon Diverticulitis: a Case Report. Asian J Endosc Surg. 2017;10(4):415-419. PubMed PMID: 28557372.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic sigmoidectomy combined with uterus excision for colouterine fistula caused by sigmoid colon diverticulitis: A case report. AU - Arakawa,Satoshi, AU - Morise,Zenichi, AU - Isetani,Masashi, AU - Tomishige,Hirokazu, AU - Kawabe,Norihiko, AU - Nagata,Hidetoshi, AU - Asano,Yukio, AU - Kawase,Jin, AU - Kamio,Kenshiro, AU - Imaeda,Yoshihiro, AU - Umemoto,Shunji, AU - Ikeda,Masahiro, AU - Horiguchi,Akihiko, Y1 - 2017/05/29/ PY - 2017/01/04/received PY - 2017/02/15/revised PY - 2017/02/27/accepted PY - 2017/5/31/pubmed PY - 2018/7/7/medline PY - 2017/5/31/entrez KW - Colonic diverticulitis KW - colouterine fistula KW - laparoscopic surgery SP - 415 EP - 419 JF - Asian journal of endoscopic surgery JO - Asian J Endosc Surg VL - 10 IS - 4 N2 - A case of colouterine fistula caused by colonic diverticulitis that was successfully treated laparoscopically is presented. A 74-year-old woman visited us with lower abdominal discomfort and vaginal excretion with minor fecal contamination. Mild tenderness was observed in her lower abdomen. Blood examinations revealed elevated white blood cell count and C-reactive protein. Sigmoid colon diverticulitis was revealed on CT, and her condition was diagnosed as colouterine fistula. Hinchey classification was stage I. After 2 weeks of conservative therapy, her symptoms were reduced, and the white blood cell count and C-reactive protein level decreased. However, fecal contaminated vaginal excretion continued. The patient underwent laparoscopic sigmoidectomy combined with uterus excision, and she has been in good health for the 3 years since the operation. Although colouterine fistula is usually treated with open surgery, patients with controlled and well-localized inflammation may be good candidates for a laparoscopic approach. SN - 1758-5910 UR - https://www.unboundmedicine.com/medline/citation/28557372/Laparoscopic_sigmoidectomy_combined_with_uterus_excision_for_colouterine_fistula_caused_by_sigmoid_colon_diverticulitis:_A_case_report_ L2 - https://doi.org/10.1111/ases.12378 DB - PRIME DP - Unbound Medicine ER -