Ileo‐uterine Fistula as a Complication of Myomectomy Case Report

Fadel, Hossam E

doi:10.1111/j.1471-0528.1977.tb12584.x

Cited by 5 publications

(4 citation statements)

References 3 publications

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“…Ileo-uterine fistulas are particularly rare. Fadel [ 11 ] described an ileo-uterine fistula after myomectomy that was asymptomatic and discovered accidentally during hysterosalpingography for infertility.…”

Section: Discussionmentioning

confidence: 99%

Ileo-uterine fistula in a degenerated posterior wall fibroid after Caesarean section

Shehata

Hussein

Halwagy

et al. 2016

Clin Exp Reprod Med

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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.

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Section: Discussionmentioning

confidence: 99%

Ileo-uterine fistula in a degenerated posterior wall fibroid after Caesarean section

Shehata

Hussein

Halwagy

et al. 2016

Clin Exp Reprod Med

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“…Uterine conservation in young patients was reported in rare cases (Table 1): excision of myometrium surrounding the fistula and reparation of the uterine wall associated with restitution of sigmoid defect with or without drainage [12-15]. It is important to mention that all these cases were not managed in an emergency setting with sepsis [16], except for one case of a pregnant patient who had a subtotal hysterectomy associated with bowel resection [17]. …”

Section: Discussionmentioning

confidence: 99%

Colouterine fistula after polymyomectomy: a case report

et al. 2014

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IntroductionColouterine fistula is a very rare condition; most cases described in the literature are secondary to complications of diverticulitis in elderly patients.Case presentationWe report the case of a 34-year-old African woman who presented with a colouterine fistula secondary to polymyomectomy, which was diagnosed in the setting of severe endometritis. She had a Hartmann procedure and abundant irrigation of her abdominal and uterine cavities followed by placement of a double drainage in order to preserve fertility. This is the first case of a conservative management of the uterus in such conditions.ConclusionConservative surgery in colouterine fistula should be discussed as an alternative to hysterectomy in young infertile women.

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“…Because of the proximity of the female reproductive organs with other pelvic organs, fistulation can occur between the ureter and small or large bowels resulting in vesicovaginal, vesicouterine, vesicoenteric, ureterovaginal, ureteroenteric and uterovaginal fistulas. [6][7][8] A wide variety of complaints in a woman are investigated for infertility suspected with fistulization. This ranges from the asymptomatic to the history of cyclic hematuria, and discharge of urine, feces, foul-smelling secretions, or air through unfamiliar orifices with perineal dermatitis.…”

Section: Introductionmentioning

confidence: 99%

<p>Salpingo Enteric Fistula: A Case Report</p>

Behrouzi-Lak¹,

Aghamohammadi²,

Afshari³

et al. 2020

IMCRJ

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Background: Few cases with fistulous communication between the GI system and female adnexal structure have been reported in the literature, and bilateral contrast spillage has been reported only in one case, and this case is the second one all over the world. Case Presentation: The case was a 27-year-old woman with a diagnosis of primary infertility. She was booked with hysterosalpingogram (HSG) as part of the routine workup in the infertility clinic. There was a positive history of pelvic surgery for bilateral adnexal cysts for her in 2014. In this case, previous pelvic surgery without any medical problems was the strongest risk factor for tubo-intestinal fistula. Cystectomy performed for the left adnexal cyst and the right adnexal cyst was only drained. The pathologic report for the left ovarian cyst was endometriosis. HSG result showed evidence of bilateral fallopian tube opacification with contrast outlining from the fallopian tubes. Contrast leakage happened to the adjacent small intestine in the right side and peritoneal cavity on the left side. Conclusion: Fistulous connections between fallopian tube and intestine will remain an exceptional rarity. The reported case could be a good lesson illustrating that the adherence to general surgical principles (meticulous hemostasis, careful applying of diathermy, etc.) and a watchful postoperative care could protect the patient from both usual and unusual complications.

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Ileo‐uterine Fistula as a Complication of Myomectomy Case Report

Abstract: Summary A patient is described who developed an ileo‐uterine fistula after myomectomy. The fistula caused no symptoms and was discovered at hysterosalpingography for infertility.

Cited by 5 publications

References 3 publications

Ileo-uterine fistula in a degenerated posterior wall fibroid after Caesarean section

Ileo-uterine fistula in a degenerated posterior wall fibroid after Caesarean section

Colouterine fistula after polymyomectomy: a case report

<p>Salpingo Enteric Fistula: A Case Report</p>

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