title: [Interest of multidetector CT virtual hysterosalpingography in the diagnosis of utero-peritoneal fistulas about 4 cases].
abstract: We report four cases of uterine fistula found with the multidetector CT virtual hysterosalpingography. Patients were received for suspicious of a utero-peritoneal fistula at hysterosalpingography. They were young people at childbearing age (average age of 33 years), multigravidae, two of whom were nulliparous, one primiparous and one multiparous. We noted a history of voluntary interruption of pregnancy by curettage and a cesarean section. For the opacification, we used the classic hysterography standard equipment by means of 1/5 diluted iodine with saline solution as contrast. The multidetector CT virtual hysterosalpingography revealed small uterine perforations including three which were located in uterine posterior face at cervico-isthmic area and corporeal area, bringing about a utero-peritoneal fistula. The multidetector CT virtual hysterosalpingography is a simple and powerful technique for the diagnosis of utero-peritoneal fistula. It is convenient and then deserves an important place in the evaluation of uterine fistula.
authors.affiliation: Service de radiologie, hôpital militaire d'Abidjan, 28, BP 1303, Abidjan, Côte d'Ivoire. Electronic address: habibnouraly@yahoo.fr.
authors.forename: H
authors.initials: H
authors.lastname: Nouraly
authors.affiliation: Service de radiologie, CHU Yopougon, Abidjan, Côte d'Ivoire. Electronic address: tourreadam@yahoo.fr.
authors.forename: A
authors.initials: A
authors.lastname: Toure
authors.affiliation: Service de gynécologie, CHU Yopougon, Abidjan, Côte d'Ivoire.
authors.forename: A
authors.initials: A
authors.lastname: Horo
authors.affiliation: Service de radiologie, hôpital militaire d'Abidjan, 28, BP 1303, Abidjan, Côte d'Ivoire.
authors.forename: A
authors.initials: A
authors.lastname: Bedji Kouassi
authors.affiliation: Service de radiologie, hôpital militaire d'Abidjan, 28, BP 1303, Abidjan, Côte d'Ivoire.
authors.forename: A
authors.initials: A
authors.lastname: Élogne
authors.affiliation: Service de radiologie, hôpital militaire d'Abidjan, 28, BP 1303, Abidjan, Côte d'Ivoire.
authors.forename: Y
authors.initials: Y
authors.lastname: Camara
mesh_terms: D000028:Abortion, Induced / Q000009:adverse effects; D000328:Adult; D003475:Curettage / Q000009:adverse effects; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D007047:Hysterosalpingography / Q000295:instrumentation / Q000379:methods; D010532:Peritoneal Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D011247:Pregnancy; D014057:Tomography, X-Ray Computed / Q000295:instrumentation / Q000379:methods*; D014584:User-Computer Interface; D014595:Uterine Perforation / Q000000981:diagnostic imaging* / Q000209:etiology
keywords: Abortion; Fistule utéro-péritonéale; Hystéroscanner; IVG; Multiplanar reconstruction; Perforation utérine; Reconstruction multiplannaire; Uterine perforation; Utero-peritoneal fistula; Virtual hysterosalpingography