Laparoscopic sigmoidectomy combined with uterus excision for colouterine fistula caused by sigmoid colon diverticulitis: A case report
| Autor: | Yukio Asano, Jin Kawase, Akihiko Horiguchi, Satoshi Arakawa, Hidetoshi Nagata, Kenshiro Kamio, Norihiko Kawabe, Masashi Isetani, Hirokazu Tomishige, Yoshihiro Imaeda, Masahiro Ikeda, Shunji Umemoto, Zenichi Morise |
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| Rok vydání: | 2017 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Hysterectomy medicine.diagnostic_test business.industry medicine.medical_treatment Sigmoid colon General Medicine 030230 surgery Diverticulitis medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis White blood cell medicine Abdomen business Laparoscopy Hinchey Classification |
| Zdroj: | Asian Journal of Endoscopic Surgery. 10:415-419 |
| ISSN: | 1758-5902 |
| Popis: | A case of colouterine fistula caused by colonic diverticulitis that was successfully treated laparoscopically is presented. A 74-year-old woman visited us with lower abdominal discomfort and vaginal excretion with minor fecal contamination. Mild tenderness was observed in her lower abdomen. Blood examinations revealed elevated white blood cell count and C-reactive protein. Sigmoid colon diverticulitis was revealed on CT, and her condition was diagnosed as colouterine fistula. Hinchey classification was stage I. After 2 weeks of conservative therapy, her symptoms were reduced, and the white blood cell count and C-reactive protein level decreased. However, fecal contaminated vaginal excretion continued. The patient underwent laparoscopic sigmoidectomy combined with uterus excision, and she has been in good health for the 3 years since the operation. Although colouterine fistula is usually treated with open surgery, patients with controlled and well-localized inflammation may be good candidates for a laparoscopic approach. |
| Databáze: | OpenAIRE |
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