Colo-ovarian fistula: a report of two cases.
We report two patients with a colo-ovarian fistula which produced a granulomatous oophoritis. Both patients presented with an adnexal mass and abdominal discomfort; in each case the preoperative diagnosis was a probable neoplasm. The patients underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy; the colo-ovarian fistula was not recognized intraoperatively in either case. Both patients required reoperation in the early postoperative period because of the development of a colovaginal and a colocutaneous fistula, respectively. Intraoperative recognition of colo-ovarian fistula is important for the selection of the appropriate surgical procedure. The differential diagnosis of granulomatous oophoritis is discussed.
D000328:Adult; D003108:Colonic Diseases / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D005402:Fistula / Q000150:complications / Q000175:diagnosis*; D006099:Granuloma / Q000209:etiology; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications / Q000175:diagnosis*; D008875:Middle Aged; D010049:Ovarian Diseases / Q000150:complications / Q000175:diagnosis* / Q000209:etiology; D010051:Ovarian Neoplasms / Q000175:diagnosis*