Colouterine Fistula: A Rare Presentation of Severe Diverticular Disease
2024

Colouterine Fistula: A Rare Presentation of Severe Diverticular Disease

Sample size: 1 publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Orgovan Jessica M, Dodson Byron D

Primary Institution: Medical School, West Virginia School of Osteopathic Medicine, Lewisburg, USA

Conclusion

Colouterine fistulas as a complication of diverticular disease are extremely rare but can be successfully managed with surgical resection.

Supporting Evidence

  • Colouterine fistulas are exceedingly rare due to the thickness of the uterine myometrium.
  • The patient presented with signs of sepsis and underwent multiple surgical procedures.
  • The final histopathology confirmed the diagnosis of colouterine fistula secondary to diverticular disease.

Takeaway

This study talks about a 63-year-old woman who had a very rare condition where a hole formed between her colon and uterus due to diverticulitis, but after surgery, she got better.

Methodology

The patient underwent exploratory laparotomy, sigmoidectomy with end colostomy, appendectomy, and total abdominal hysterectomy with bilateral salpingo-oophorectomy.

Participant Demographics

The patient was a 63-year-old woman with a history of hypertension and gastroesophageal reflux disease.

Digital Object Identifier (DOI)

10.7759/cureus.74162

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