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Published in: Journal of Medical Case Reports 1/2014

Open Access 01-12-2014 | Case report

Colouterine fistula after polymyomectomy: a case report

Authors: Jennifer Uzan, Martin Koskas, Pierre Fournier, Anne Laure Margulies, Dominique Luton, Chadi Yazbeck

Published in: Journal of Medical Case Reports | Issue 1/2014

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Abstract

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.
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Literature
1.
go back to reference Moquet PY, Letoquart JP, Pompilio M, Kunin N, La Gamma A, Mambrini A: Sigmoido-uterine fistula of diverticular origin. Review of the literature a propos of a case. J Chir (Paris). 1991, 128: 419-423. Moquet PY, Letoquart JP, Pompilio M, Kunin N, La Gamma A, Mambrini A: Sigmoido-uterine fistula of diverticular origin. Review of the literature a propos of a case. J Chir (Paris). 1991, 128: 419-423.
2.
go back to reference Sentilhes L, Foulatier O, Verspyck E, Roman H, Scotte M, Marpeau L: Colouterine fistula complicating diverticulitis: a case report and review of the literature. Eur J Obstet Gynecol Reprod Biol. 2003, 110: 107-110.CrossRefPubMed Sentilhes L, Foulatier O, Verspyck E, Roman H, Scotte M, Marpeau L: Colouterine fistula complicating diverticulitis: a case report and review of the literature. Eur J Obstet Gynecol Reprod Biol. 2003, 110: 107-110.CrossRefPubMed
3.
go back to reference Halevy A, Bracha M, Jeroukhimov I, Schneider D, Nesterenko V: En bloc resection for malignant colouterine fistula. Tech Coloproctol. 2010, 14: 37-39.CrossRefPubMed Halevy A, Bracha M, Jeroukhimov I, Schneider D, Nesterenko V: En bloc resection for malignant colouterine fistula. Tech Coloproctol. 2010, 14: 37-39.CrossRefPubMed
4.
go back to reference Pinto P, Sharma L, Kini P: Chronic utero-rectal fistula with menochezia and amenorrhea. Int J Gynaecol Obstet. 1990, 33: 77-78.CrossRefPubMed Pinto P, Sharma L, Kini P: Chronic utero-rectal fistula with menochezia and amenorrhea. Int J Gynaecol Obstet. 1990, 33: 77-78.CrossRefPubMed
5.
go back to reference Hawkes SZ: Enterouterine fistula; with a review of the literature and report of an unusual case. Am J Obstet Gynecol. 1946, 52: 150-153.CrossRefPubMed Hawkes SZ: Enterouterine fistula; with a review of the literature and report of an unusual case. Am J Obstet Gynecol. 1946, 52: 150-153.CrossRefPubMed
6.
go back to reference Martin DH, Hixson CH, Wilson ECJ: Enterouterine fistula; review; report of an unusual case. Obstet Gynecol. 1956, 7: 466-469.PubMed Martin DH, Hixson CH, Wilson ECJ: Enterouterine fistula; review; report of an unusual case. Obstet Gynecol. 1956, 7: 466-469.PubMed
7.
go back to reference Donnez O, Jadoul P, Squifflet J, Donnez J: Unusual complication after uterine artery embolization and laparoscopic myomectomy in a woman wishing to preserve future fertility. Fertil Steril. 2007, 2008 (90): e5-e9. Donnez O, Jadoul P, Squifflet J, Donnez J: Unusual complication after uterine artery embolization and laparoscopic myomectomy in a woman wishing to preserve future fertility. Fertil Steril. 2007, 2008 (90): e5-e9.
8.
go back to reference Gutierrez LB, Bansal AK, Hovsepian DM: Uteroenteric fistula resulting from fibroid expulsion after uterine fibroid embolization: case report and review of the literature. Cardiovasc Intervent Radiol. 2012, 35: 1231-1236.CrossRefPubMed Gutierrez LB, Bansal AK, Hovsepian DM: Uteroenteric fistula resulting from fibroid expulsion after uterine fibroid embolization: case report and review of the literature. Cardiovasc Intervent Radiol. 2012, 35: 1231-1236.CrossRefPubMed
9.
go back to reference Dewdney SB, Mani NB, Zuckerman DA, Thaker PH: Uteroenteric fistula after uterine artery embolization. Obstet Gynecol. 2011, 118: 434-436.CrossRefPubMed Dewdney SB, Mani NB, Zuckerman DA, Thaker PH: Uteroenteric fistula after uterine artery embolization. Obstet Gynecol. 2011, 118: 434-436.CrossRefPubMed
10.
go back to reference Beck DE, Cohen Z, Fleshman JW, Kaufman HS, van Goor H, Wolff BG: A prospective, randomized, multicenter, controlled study of the safety of Seprafilm adhesion barrier in abdominopelvic surgery of the intestine. Dis Colon Rectum. 2003, 46: 1310-1319.CrossRefPubMed Beck DE, Cohen Z, Fleshman JW, Kaufman HS, van Goor H, Wolff BG: A prospective, randomized, multicenter, controlled study of the safety of Seprafilm adhesion barrier in abdominopelvic surgery of the intestine. Dis Colon Rectum. 2003, 46: 1310-1319.CrossRefPubMed
11.
go back to reference Hoekstra AV, Doan T, Kosinski A, Dini M: Colouterine fistulas in elderly women: a report of 2 cases. J Reprod Med. 2005, 50: 796-800.PubMed Hoekstra AV, Doan T, Kosinski A, Dini M: Colouterine fistulas in elderly women: a report of 2 cases. J Reprod Med. 2005, 50: 796-800.PubMed
13.
go back to reference Zeino MY, Wietfeldt ED, Advani V, Ahad S, Younkin C, Hassan I: Laparoscopic removal of a copper intrauterine device from the sigmoid colon. JSLS. 2011, 15 (4): 568-570.CrossRefPubMedPubMedCentral Zeino MY, Wietfeldt ED, Advani V, Ahad S, Younkin C, Hassan I: Laparoscopic removal of a copper intrauterine device from the sigmoid colon. JSLS. 2011, 15 (4): 568-570.CrossRefPubMedPubMedCentral
14.
go back to reference Dadhwal V, Ghosh B, Jindal VL, Vaid A, Agarwal S, Mittal S: A case of colouterine fistula managed laparoscopically. J Minim Invasive Gynecol. 2008, 15: 652-654.CrossRefPubMed Dadhwal V, Ghosh B, Jindal VL, Vaid A, Agarwal S, Mittal S: A case of colouterine fistula managed laparoscopically. J Minim Invasive Gynecol. 2008, 15: 652-654.CrossRefPubMed
15.
go back to reference Shaw FM, Reinus JF, Leikin EL, Tejani N: Recurrent chorioamnionitis and second-trimester abortion because of an enterouterine fistula. Obstet Gynecol. 1995, 86: 639-641.CrossRefPubMed Shaw FM, Reinus JF, Leikin EL, Tejani N: Recurrent chorioamnionitis and second-trimester abortion because of an enterouterine fistula. Obstet Gynecol. 1995, 86: 639-641.CrossRefPubMed
16.
go back to reference Fadel HE: Ileo-uterine fistula as a complication of myomectomy. Case report. Br J Obstet Gynaecol. 1977, 84: 312-313.CrossRefPubMed Fadel HE: Ileo-uterine fistula as a complication of myomectomy. Case report. Br J Obstet Gynaecol. 1977, 84: 312-313.CrossRefPubMed
17.
go back to reference Sriganeshan V, Willis IH, Zarate LA, Howard L, Robinson MJ: Colouterine fistula secondary to endometriosis with associated chorioamnionitis. Obstet Gynecol. 2006, 107: 451-453.CrossRefPubMed Sriganeshan V, Willis IH, Zarate LA, Howard L, Robinson MJ: Colouterine fistula secondary to endometriosis with associated chorioamnionitis. Obstet Gynecol. 2006, 107: 451-453.CrossRefPubMed
Metadata
Title
Colouterine fistula after polymyomectomy: a case report
Authors
Jennifer Uzan
Martin Koskas
Pierre Fournier
Anne Laure Margulies
Dominique Luton
Chadi Yazbeck
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2014
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-8-199

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