title: Colouterine fistula complicating diverticulitis: a case report and review of the literature.
abstract: Colouterine fistula, secondary to diverticulitis, is an extremely rare complication, and only few cases have been reported in the literature. We report the case of 76-year-old woman, who presented with vaginal discharge over a three-month period. Pelvic examination and laboratory investigations suggested a colouterine fistula, that was confirmed by non-invasive imaging. Surgical treatment was a one-stage, en bloc resection of the uterus and sigmoid colon. In the presence of severe inflammatory reaction or paracolic abscess, a two-stage procedure should be safer. Otherwise, a one-stage procedure, en bloc resection of the uterus and sigmoid colon is preferred, as we cannot rule out a malignancy prior to surgery.
authors.affiliation: Department of Gynaecology and Obstetrics, Pavillon Mère-Enfant, Rouen University Hospital-Charles Nicolle, 1, rue de Germont, 76031 Rouen Cédex, France. loicsentilhes@hotmail.com
authors.forename: Loïc
authors.initials: L
authors.lastname: Sentilhes
authors.forename: Olivier
authors.initials: O
authors.lastname: Foulatier
authors.forename: Eric
authors.initials: E
authors.lastname: Verspyck
authors.forename: Horatiu
authors.initials: H
authors.lastname: Roman
authors.forename: Michel
authors.initials: M
authors.lastname: Scotté
authors.forename: Loïc
authors.initials: L
authors.lastname: Marpeau
mesh_terms: D000368:Aged; D003108:Colonic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D004239:Diverticulitis, Colonic / Q000150:complications*; D005260:Female; D005402:Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014591:Uterine Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D019522:Vaginal Discharge