A Very Rare Case of Colosalpingeal Fistula Secondary to Diverticulitis: An Overview of Development, Clinical Features and Management.
| Autor: | Darii Plopa N; Department of Gynecology, CHU de Charleroi, 6000 Charleroi, Belgium., Gica N; Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania., Gerard M; Department of Radiology, CHU Dinant Godinne|UCL Namur, 5530 Yvoir, Belgium., Nollevaux MC; Department of Pathology, CHU Dinant Godinne|UCL Namur, 5530 Yvoir, Belgium., Pavlovic M; Department of Gynecology, Faculty of Medicine, Pontificia Universidad Católica de Chile, 833-0073 Santiago, Chile., Anton E; University of Medicine and Pharmacology Gr T Popa, 700115 Iasi, Romania. |
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| Jazyk: | angličtina |
| Zdroj: | Medicina (Kaunas, Lithuania) [Medicina (Kaunas)] 2020 Sep 17; Vol. 56 (9). Date of Electronic Publication: 2020 Sep 17. |
| DOI: | 10.3390/medicina56090477 |
| Abstrakt: | Background: Colosalpingeal fistula is a rare complication secondary to diverticular disease. The pathogenesis is still not clearly understood. We present the case of a colosalpingeal fistula and a review of the management of this pathology. Case Report: A 69-year-old patient with uncomplicated diverticular disease was referred to our department for recurrent vaginal discharge. The clinical examination was unremarkable, hysteroscopy revealed the presence of air in the uterine cavity in the absence of a uterine fistula. A preliminary diagnosis of colosalpingeal fistula was made and was confirmed by computed tomography (CT) scan and hysterosalpingography. A one-stage surgery via laparotomy was successfully performed with remission of the symptoms. Conclusion: Colotubal fistula is a rare complication resulting from intestinal diverticular disease. The purpose of this paper was to emphasize the presence of a rare, but serious complication occurring in diverticular disease with atypical symptoms and one-stage surgery treatment. |
| Databáze: | MEDLINE |
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