Ileo-uterine fistula in a degenerated posterior wall fibroid after Caesarean section.
Uterine fibroids are benign tumors of the myometrium with a diverse range of manifestations. Fibroids can dramatically increase in size during pregnancy due to the increase in estrogen levels. After delivery, the fibroids usually shrink back to their pre-pregnancy size. Uterine myomas may have many complications, including abnormal uterine bleeding, infertility, pressure on nearby organs, degeneration, and malignant transformation. No previous reports have indicated that a fistula may develop between a uterine fibroid and the bowel loops, although previous studies have documented the occurrence of fistulas from the uterus to the bowel following myomectomy or uterine artery embolization performed to treat a myoma. In our case report, we document the rare complication of a fistula occurring between a degenerated myoma in the posterior wall and the ileum 1 week postoperatively in a patient who underwent a Caesarean section but did not have a history of uterine artery embolization.
Lecturer of Obstetrics and Gynecology, Tanta University, Tanta, Egypt.
Ayman
A
Shehata
Lecturer of Obstetrics and Gynecology, Tanta University, Tanta, Egypt.
Naglaa
N
Hussein
Lecturer of Obstetrics and Gynecology, Tanta University, Tanta, Egypt.
Ahmed
A
El Halwagy
Lecturer of Obstetrics and Gynecology, Tanta University, Tanta, Egypt.
Adel
A
El Gergawy
Lecturer of Surgery, Tanta University, Tanta, Egypt.
Mohamed
M
Khairallah
Degenerated myoma; Fistula; Uterine fibroids