Colouterine Fistula Secondary to Endometriosis With Associated Chorioamnionitis

Sriganeshan, Vathany; Willis, Irvin; Zarate, Luis Augusto; Howard, Lydia; Robinson, Morton J.

doi:10.1097/01.aog.0000168443.22820.2e

Cited by 8 publications

(7 citation statements)

References 7 publications

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“…Because there was no response to broad-spectrum antibiotics, she underwent explorative abdominal surgery which showed a fistula between the cecum and uterus in a setting of purulent peritonitis. A subtotal hysterectomy with subsequent termination of pregnancy and intestinal resection were performed; the surgical specimen confirmed the presence of a colouterine fistula within extensive adenomyosis of the uterus and endometriosis of the cecum (25).…”

Section: Intestinal Perforation and Other Bowel Complicationsmentioning

confidence: 93%

Obstetrical complications of endometriosis, particularly deep endometriosis

Maggiore

Inversetti

Schimberni

et al. 2017

Fertility and Sterility

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Over the past few years, a new topic in the field of endometriosis has emerged: the potential impact of the disease on pregnancy outcomes. This review aims to summarize in detail the available evidence on the relationship between endometriosis, particularly deep endometriosis (DE), and obstetrical outcomes. Acute complications of DE, such as spontaneous hemoperitoneum, bowel perforation, and uterine rupture, may occur during pregnancy. Although these events represent life-threatening conditions, they are rare and unpredictable. Therefore, the current literature does not support any kind of prophylactic surgery before pregnancy to prevent such complications. Results on the impact of DE on obstetrical outcomes are debatable and characterized by several limitations, including small sample size, lack of adjustment for confounders, lack of adequate control subjects, and other methodologic flaws. For these reasons, it is not possible to draw conclusions on this topic. The strongest evidence shows that DE is associated with higher rates of placenta previa; for other obstetrical outcomes, such as miscarriage, intrauterine growth restriction, preterm birth and hypertensive disorders, results are controversial. Although it is unlikely that surgery of DE may modify the impact of the disease on the course of pregnancy, no study has yet investigated this issue.

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Section: Intestinal Perforation and Other Bowel Complicationsmentioning

confidence: 93%

Obstetrical complications of endometriosis, particularly deep endometriosis

Maggiore

Inversetti

Schimberni

et al. 2017

Fertility and Sterility

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“…143 In three cases, fistulae involved Meckel's diverticula. [144][145][146] There were 12 cases of fistula to female genital organs including the uterus (five cases), [147][148][149][150][151] fallopian tube (four cases), [152][153][154][155] and vagina (three cases). [156][157][158] A single case of fistula to the testis was described.…”

Section: Resultsmentioning

confidence: 99%

Fistulae involving the appendix: a systematic review of the literature

McDonald

Lee

Dean

et al. 2020

ANZ Journal of Surgery

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Background The appendix has a unique place in surgical history. Although the first ever appendicectomy involved a fistula to the skin, fistulae involving the appendix remain uncommon and can lead to unique surgical considerations. Methods A systematic review of the literature was performed for case reports of appendiceal fistulae. We excluded cases in which the patient had a history of appendicectomy. Cases were categorized by site and aetiology, with information regarding relative frequency and demographics obtained. Results A total of 301 case reports of fistula involving the appendix were found. The most common sites of these fistulae were to the bladder (148 cases), skin (40 cases), vasculature (19 cases), umbilicus (16 cases) and to the gastrointestinal tract. The most common aetiology in sub‐analysis was appendicitis alone (150 cases), with less common causes including appendiceal adenocarcinoma (32 cases) and congenital abnormalities (18 cases). There were significantly more appendiceal fistulae in males than in females, with a ratio of 1.7:1. In patients with appendiceal adenocarcinoma as a cause for fistula, there were significantly more females than males with a ratio of 2.3:1. Conclusion In conducting a systematic review of case reports of fistulae involving the appendix, we identified 301 unique case reports, with a range of different sites and aetiologies.

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“…Spontaneous fistula formation due to endometriosis is extremely rare and almost always involves the uterine wall. We could only find one reported case of peritonitis secondary to a colouterine fistula with pelvic sepsis 5. Rectovaginal and urinary fistula mostly occur after surgical resection for endometriosis 6 7…”

Section: Discussionmentioning

confidence: 96%

Management of pregnancy in woman with suspected malignant deep infiltrating endometriosis fistulised to the uterine cervix

et al. 2014

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SUMMARYDeep infiltrating endometriosis (DIE) is a well-known cause of pelvic pain and infertility. Malignant transformation of DIE is rare but can be suggested by MRI. We report a case of a spontaneous pregnancy in a woman with suspicion of malignant transformation of DIE with fistulisation to the posterior uterine isthmus through to the cervical canal. The pregnancy was closely monitored and an uneventful caesarian section was performed at 34 weeks of gestation. This case raises the issue of the relevance of imaging techniques and management of pregnancy. BACKGROUND

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Colouterine Fistula Secondary to Endometriosis With Associated Chorioamnionitis

Abstract: This case illustrates a rare complication of colouterine fistula secondary to intestinal endometriosis.

Cited by 8 publications

References 7 publications

Obstetrical complications of endometriosis, particularly deep endometriosis

Obstetrical complications of endometriosis, particularly deep endometriosis

Fistulae involving the appendix: a systematic review of the literature

Management of pregnancy in woman with suspected malignant deep infiltrating endometriosis fistulised to the uterine cervix

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