Tuboovarian sigmoid fistula after cesarean section. A case report.
Tuboovarian sigmoid fistulae are rare complications of pelvic inflammatory disease. A 31-year-old woman had a severe post-cesarean-section infection that formed a tuboovarian abscess and ruptured into the sigmoid colon. The abscess and subsequent fistula led to persistent pain and purulent diarrhea. A salpingo-oophorectomy with closure of the colon was performed. The patient was still asymptomatic 20 months after the surgery.
Department of Obstetrics and Gynecology, Swedish Hospital Medical Center, Seattle, WA.
W A
WA
Peters
E
E
Peavy
D J
DJ
Corwin
D E
DE
Hickok
D000038:Abscess / Q000209:etiology; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D005184:Fallopian Tube Diseases / Q000209:etiology*; D005260:Female; D005402:Fistula / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*; D010049:Ovarian Diseases / Q000209:etiology*; D000292:Pelvic Inflammatory Disease / Q000150:complications; D011247:Pregnancy; D012810:Sigmoid Diseases / Q000209:etiology*