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Techniques in Coloproctology
Published in: Techniques in Coloproctology 1/2010

01-03-2010 | Technical Note

En bloc resection for malignant colouterine fistula

Authors: A. Halevy, M. Bracha, I. Jeroukhimov, D. Schneider, V. Nesterenko

Published in: Techniques in Coloproctology | Issue 1/2010

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Abstract

Colouterine fistula is a rare clinical entity. A literature search revealed only a few reports dealing with this complex problem, mostly resulting as a complication of diverticular disease of the colon. During a 4-month period, we diagnosed and successfully treated 2 women with a malignant colouterine fistula originating from a primary colorectal carcinoma invading the uterus. We herein report on our experience dealing with this kind of pathology, with special emphasis on the surgical technique used to resect the tumoral mass “en bloc”.
Literature
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Clay AC, Tierney NA (1969) One-stage, en bloc resection for colonic-uterine fistula caused by diverticulitis. JAMA 207:555–557CrossRefPubMed
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Nistri R, Basili G, Vitali A, Carrieri P, Nardi S (1998) Colo-uterine fistula, a complication of sigma diverticulitis. Minerva Chir 53:827–830PubMed
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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. Eur J Obstet Gynecol Reprod Biol 110:107–110CrossRefPubMed
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Takada T, Nakagawa S, Hashimoto K et al (2004) Preoperative diagnosis of colouterine fistula secondary to diverticulitis by sonohysterography with contrast medium. Ultrasound Obstet Gynecol 24:682–683CrossRefPubMed
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Nakafusa Y, Tanaka T, Tanaka M, Kitajima Y, Sato S, Miyazaki K (2004) Comparison of multivisceral resection and standard operation for locally advanced colorectal cancer: analysis of prognostic factors for short-term and long-term outcome. Dis Colon Rectum 47:2055–2063CrossRefPubMed
Metadata
Title
En bloc resection for malignant colouterine fistula
Authors
A. Halevy
M. Bracha
I. Jeroukhimov
D. Schneider
V. Nesterenko
Publication date
01-03-2010
Publisher
Springer Milan
Published in
Techniques in Coloproctology / Issue 1/2010
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-009-0555-6

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