Open Access 01-12-2014 | Case report
Colouterine fistula after polymyomectomy: a case report
Published in: Journal of Medical Case Reports | Issue 1/2014
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Introduction
Colouterine fistula is a very rare condition; most cases described in the literature are secondary to complications of diverticulitis in elderly patients.
Case presentation
We report the case of a 34-year-old African woman who presented with a colouterine fistula secondary to polymyomectomy, which was diagnosed in the setting of severe endometritis. She had a Hartmann procedure and abundant irrigation of her abdominal and uterine cavities followed by placement of a double drainage in order to preserve fertility. This is the first case of a conservative management of the uterus in such conditions.
Conclusion
Conservative surgery in colouterine fistula should be discussed as an alternative to hysterectomy in young infertile women.