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Colouterine fistula secondary to diverticulitis.
Dis Colon Rectum. 1985 May; 28(5):358-60.DC

Abstract

Colouterine fistula complicating diverticulitis is rare. Our experience with two patients, one with chronic vaginal discharge and the other with acute overwhelming sepsis, emphasizes the wide spectrum of clinical presentations that may accompany this entity. In patients with chronic symptoms, surgery is indicated to forestall further local infectious complications, and a single-stage sigmoid resection without hysterectomy may be adequate. If malignancy cannot be excluded, a single-stage en bloc resection of the uterus and colon is the procedure of choice. Hysterectomy may also be mandatory to extirpate a nidus of acute infection. When severe local inflammation or obstruction mandate urgent operation, a two-stage procedure involving resection and end colostomy, followed by reanastomosis at a later time, is safest and most effective.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

3996153

Citation

Chaikof, E L., et al. "Colouterine Fistula Secondary to Diverticulitis." Diseases of the Colon and Rectum, vol. 28, no. 5, 1985, pp. 358-60.
Chaikof EL, Cambria RP, Warshaw AL. Colouterine fistula secondary to diverticulitis. Dis Colon Rectum. 1985;28(5):358-60.
Chaikof, E. L., Cambria, R. P., & Warshaw, A. L. (1985). Colouterine fistula secondary to diverticulitis. Diseases of the Colon and Rectum, 28(5), 358-60.
Chaikof EL, Cambria RP, Warshaw AL. Colouterine Fistula Secondary to Diverticulitis. Dis Colon Rectum. 1985;28(5):358-60. PubMed PMID: 3996153.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Colouterine fistula secondary to diverticulitis. AU - Chaikof,E L, AU - Cambria,R P, AU - Warshaw,A L, PY - 1985/5/1/pubmed PY - 1985/5/1/medline PY - 1985/5/1/entrez SP - 358 EP - 60 JF - Diseases of the colon and rectum JO - Dis Colon Rectum VL - 28 IS - 5 N2 - Colouterine fistula complicating diverticulitis is rare. Our experience with two patients, one with chronic vaginal discharge and the other with acute overwhelming sepsis, emphasizes the wide spectrum of clinical presentations that may accompany this entity. In patients with chronic symptoms, surgery is indicated to forestall further local infectious complications, and a single-stage sigmoid resection without hysterectomy may be adequate. If malignancy cannot be excluded, a single-stage en bloc resection of the uterus and colon is the procedure of choice. Hysterectomy may also be mandatory to extirpate a nidus of acute infection. When severe local inflammation or obstruction mandate urgent operation, a two-stage procedure involving resection and end colostomy, followed by reanastomosis at a later time, is safest and most effective. SN - 0012-3706 UR - https://www.unboundmedicine.com/medline/citation/3996153/Colouterine_fistula_secondary_to_diverticulitis_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=3996153.ui DB - PRIME DP - Unbound Medicine ER -