title: Colouterine fistula after polymyomectomy: a case report.
abstract: BACKGROUND
  Colouterine fistula is a very rare condition; most cases described in the literature are secondary to complications of diverticulitis in elderly patients.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Conservative surgery in colouterine fistula should be discussed as an alternative to hysterectomy in young infertile women.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Uzan
authors.forename: Martin
authors.initials: M
authors.lastname: Koskas
authors.forename: Pierre
authors.initials: P
authors.lastname: Fournier
authors.forename: Anne Laure
authors.initials: AL
authors.lastname: Margulies
authors.forename: Dominique
authors.initials: D
authors.lastname: Luton
authors.affiliation: Obstetrics and Gynecology Department, Bichat-Claude Bernard Hospital, APHP, Paris 7 University, 46 rue Henri Huchard, 75018 Paris, France. chadi.yazbeck@bch.aphp.fr.
authors.forename: Chadi
authors.initials: C
authors.lastname: Yazbeck
mesh_terms: D000328:Adult; D004716:Endometritis / Q000209:etiology; D005260:Female; D059247:Fertility Preservation; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D018231:Leiomyomatosis / Q000601:surgery*; D059351:Organ Sparing Treatments; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D012810:Sigmoid Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014591:Uterine Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D063186:Uterine Myomectomy; D014594:Uterine Neoplasms / Q000601:surgery*