Colouterine fistula after polymyomectomy: a case report

Journal of Medical Case Reports

Chadi Yazbeck¹  Dominique Luton³  Anne Laure Margulies³  Pierre Fournier²  Martin Koskas³  Jennifer Uzan³ 

[1] Obstetrics, Gynecology and Reproductive Medicine Department, Bichat-Claude Bernard University Hospital, 46, rue Henri Huchard, 75018 Paris, France;General Surgery Department, Bichat-Claude Bernard Hospital. APHP, Paris 7 University, 46 rue Henri Huchard, 75018 Paris, France;Obstetrics and Gynecology Department, Bichat-Claude Bernard Hospital. APHP, Paris 7 University, 46 rue Henri Huchard, 75018 Paris, France

关键词: Surgical management;    Myomectomy;    Fertility preservation;    Colouterine fistula;   

Others  :  814200
DOI  :  10.1186/1752-1947-8-199

 received in 2013-12-19, accepted in 2014-04-28,  发布年份 2014

【 摘 要 】

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.

【 授权许可】

   
2014 Uzan et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】

• [1]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]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.
• [3]Halevy A, Bracha M, Jeroukhimov I, Schneider D, Nesterenko V: En bloc resection for malignant colouterine fistula. Tech Coloproctol 2010, 14:37-39.
• [4]Pinto P, Sharma L, Kini P: Chronic utero-rectal fistula with menochezia and amenorrhea. Int J Gynaecol Obstet 1990, 33:77-78.
• [5]Hawkes SZ: Enterouterine fistula; with a review of the literature and report of an unusual case. Am J Obstet Gynecol 1946, 52:150-153.
• [6]Martin DH, Hixson CH, Wilson ECJ: Enterouterine fistula; review; report of an unusual case. Obstet Gynecol 1956, 7:466-469.
• [7]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]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.
• [9]Dewdney SB, Mani NB, Zuckerman DA, Thaker PH: Uteroenteric fistula after uterine artery embolization. Obstet Gynecol 2011, 118:434-436.
• [10]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.
• [11]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.
• [12]Choi PW: Colouterine fistula caused by diverticulitis of the sigmoid colon. J Korean Soc Coloproctol 2012, 28(6):321-324.
• [13]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.
• [14]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.
• [15]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.
• [16]Fadel HE: Ileo-uterine fistula as a complication of myomectomy. Case report. Br J Obstet Gynaecol 1977, 84:312-313.
• [17]Sriganeshan V, Willis IH, Zarate LA, Howard L, Robinson MJ: Colouterine fistula secondary to endometriosis with associated chorioamnionitis. Obstet Gynecol 2006, 107:451-453.