Cargando…
Colouterine fistula: A case report of a rare complication of diverticular disease managed during the pandemic
INTRODUCTION AND IMPORTANCE: Colouterine fistulas related to diverticulitis are very rare due to the thickness of the uterine myometrium. Other causes related to colouterine fistula formation particularly malignancy, have to be considered. Diagnosis by imaging or endoscopy may be inconclusive. CASE...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7815980/ https://www.ncbi.nlm.nih.gov/pubmed/33477073 http://dx.doi.org/10.1016/j.ijscr.2021.01.036 |
_version_ | 1783638348093456384 |
---|---|
author | Perez, Anthony R. Chiong-Perez, Mary Ellen Arcilla, Crisostomo E. Merin, John Isaac |
author_facet | Perez, Anthony R. Chiong-Perez, Mary Ellen Arcilla, Crisostomo E. Merin, John Isaac |
author_sort | Perez, Anthony R. |
collection | PubMed |
description | INTRODUCTION AND IMPORTANCE: Colouterine fistulas related to diverticulitis are very rare due to the thickness of the uterine myometrium. Other causes related to colouterine fistula formation particularly malignancy, have to be considered. Diagnosis by imaging or endoscopy may be inconclusive. CASE PRESENTATION: We are presenting a case of a 70-year-old female who presented with malodorous vaginal discharge and painful labial lesions. No previous history of surgery, gynecologic malignancy or other possible causes of the fistula was elicited. CT scan imaging suggested a colouterine fistula. The patient was admitted and underwent Exploratory laparotomy, Hartmann’s procedure and total hysterectomy with bilateral salpingo oophorectomy. The patient was discharged without perioperative complications. CLINICAL DISCUSSION: Colouterine fistulas are extremely rare complications of diverticular disease. Diagnosis entails clinical astuteness and judicious use of imaging and endoscopic modalities. Accurate diagnosis is essential to select the appropriate surgical approach, along with intraoperative findings patient status and prevailing conditions. CONCLUSION: This case is being presented not only for the rarity of the case but also for the complexity of the management and decision making during the period of the pandemic. |
format | Online Article Text |
id | pubmed-7815980 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-78159802021-01-27 Colouterine fistula: A case report of a rare complication of diverticular disease managed during the pandemic Perez, Anthony R. Chiong-Perez, Mary Ellen Arcilla, Crisostomo E. Merin, John Isaac Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Colouterine fistulas related to diverticulitis are very rare due to the thickness of the uterine myometrium. Other causes related to colouterine fistula formation particularly malignancy, have to be considered. Diagnosis by imaging or endoscopy may be inconclusive. CASE PRESENTATION: We are presenting a case of a 70-year-old female who presented with malodorous vaginal discharge and painful labial lesions. No previous history of surgery, gynecologic malignancy or other possible causes of the fistula was elicited. CT scan imaging suggested a colouterine fistula. The patient was admitted and underwent Exploratory laparotomy, Hartmann’s procedure and total hysterectomy with bilateral salpingo oophorectomy. The patient was discharged without perioperative complications. CLINICAL DISCUSSION: Colouterine fistulas are extremely rare complications of diverticular disease. Diagnosis entails clinical astuteness and judicious use of imaging and endoscopic modalities. Accurate diagnosis is essential to select the appropriate surgical approach, along with intraoperative findings patient status and prevailing conditions. CONCLUSION: This case is being presented not only for the rarity of the case but also for the complexity of the management and decision making during the period of the pandemic. Elsevier 2021-01-15 /pmc/articles/PMC7815980/ /pubmed/33477073 http://dx.doi.org/10.1016/j.ijscr.2021.01.036 Text en © 2021 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Perez, Anthony R. Chiong-Perez, Mary Ellen Arcilla, Crisostomo E. Merin, John Isaac Colouterine fistula: A case report of a rare complication of diverticular disease managed during the pandemic |
title | Colouterine fistula: A case report of a rare complication of diverticular disease managed during the pandemic |
title_full | Colouterine fistula: A case report of a rare complication of diverticular disease managed during the pandemic |
title_fullStr | Colouterine fistula: A case report of a rare complication of diverticular disease managed during the pandemic |
title_full_unstemmed | Colouterine fistula: A case report of a rare complication of diverticular disease managed during the pandemic |
title_short | Colouterine fistula: A case report of a rare complication of diverticular disease managed during the pandemic |
title_sort | colouterine fistula: a case report of a rare complication of diverticular disease managed during the pandemic |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7815980/ https://www.ncbi.nlm.nih.gov/pubmed/33477073 http://dx.doi.org/10.1016/j.ijscr.2021.01.036 |
work_keys_str_mv | AT perezanthonyr colouterinefistulaacasereportofararecomplicationofdiverticulardiseasemanagedduringthepandemic AT chiongperezmaryellen colouterinefistulaacasereportofararecomplicationofdiverticulardiseasemanagedduringthepandemic AT arcillacrisostomoe colouterinefistulaacasereportofararecomplicationofdiverticulardiseasemanagedduringthepandemic AT merinjohnisaac colouterinefistulaacasereportofararecomplicationofdiverticulardiseasemanagedduringthepandemic |