A Case of Colouterine Fistula Managed Laparoscopically

Dadhwal, Vatsla; Ghosh, B. N.; Jindal, V.; Vaid, Arvind; Agarwal, Sandeep; Mittal, Suneeta

doi:10.1016/j.jmig.2008.06.014

Cited by 9 publications

(4 citation statements)

References 6 publications

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“…There have been a small number of descriptions of colouterine fistula resulting either from iatrogenic causes postsurgery,11 foreign-body-induced inflammation, diverticular disease5 6 or malignant colorectal or uterine disease 7. Various invasive and imaging techniques have been used to identify the diagnosis, including hysteroscopy, colonoscopy, as well as sonohysterography, contrast-enhanced CT and MRI.…”

Section: Discussionmentioning

confidence: 99%

“…Frequently, the patient will undergo a segmental colectomy, with or without stoma formation and abdominal hysterectomy, to deal with the uterine defect resulting from the fistula. There has been only one single attempt in the literature, of laparoscopic treatment resulting in an en bloc sigmoid colectomy and hysterectomy,11 while an organ-sparing treatment option keeping the uterus has only been reported in two other cases 8 10…”

Section: Discussionmentioning

confidence: 99%

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Single-incision laparoscopic (SIL) sigmoid colectomy and uterus-preserving repair for colo-uterine fistula secondary to severe diverticular disease: an unusual technical solution for an unusual presentation of a common disease

et al. 2016

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Colouterine fistula as a potential complication of chronic diverticulitis is a rare entity with less than 30 cases reported worldwide. Generally, patients require a multidisciplinary approach including a major laparotomy with hysterectomy and sigmoid colectomy, and, occasionally, temporary colostomy. We report the first attempt of a novel, minimally invasive technique for managing a case of benign colouterine fistula with single-incision laparoscopic (SIL) sigmoid colectomy and uterus preservation. A small, 3 cm incision site provided access for the whole operation, as well as played a role as the specimen extraction site. Malignant fistulas and large uterine defects may require hysterectomy, however, laparoscopic closure of uterine wall defects can be considered as a reasonable alternative in selected patients, avoiding the higher risks associated with hysterectomy and keeping fertility at younger ages. Single incision laparoscopy in complicated diverticular disease and fistula formation cases is a challenging but technically feasible option, in experienced hands.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Single-incision laparoscopic (SIL) sigmoid colectomy and uterus-preserving repair for colo-uterine fistula secondary to severe diverticular disease: an unusual technical solution for an unusual presentation of a common disease

et al. 2016

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“…Usually these cases of colouterine fistulae were diagnosed by computerized tomography 3 or sonohysterography 4 . Just a conventional hysterosalpingography can also lead to the diagnosis 5 . Colouterine fistulae documented till now were secondary to malignancy 6 , diverticulitis 6 & endometriosis.…”

Section: Case Reportmentioning

confidence: 99%

Colouterine Fistula

Banu

Siddiqua²,

Siddique³

2017

J. Bangladesh Coll. Phys.

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“…In instances where the fistulous tract cannot be identified on imaging, ingestion of activated charcoal can be employed, and charcoal can be visualized exiting the cervical os the following day [2]. Treatment with en bloc resection of the uterus and sigmoid colon has been previously described [2,3].…”

mentioning

confidence: 99%