Showing papers on "Uterine Fistula published in 2020"
TL;DR: The case of a 69-year-old patient with uncomplicated diverticular disease with atypical symptoms and one-stage surgery treatment is presented and a colosalpingeal fistula is presented, a rare complication resulting from intestinal diversionicular disease.
Abstract: Background: Colosalpingeal fistula is a rare complication secondary to diverticular disease. The pathogenesis is still not clearly understood. We present the case of a colosalpingeal fistula and a review of the management of this pathology. Case report: A 69-year-old patient with uncomplicated diverticular disease was referred to our department for recurrent vaginal discharge. The clinical examination was unremarkable, hysteroscopy revealed the presence of air in the uterine cavity in the absence of a uterine fistula. A preliminary diagnosis of colosalpingeal fistula was made and was confirmed by computed tomography (CT) scan and hysterosalpingography. A one-stage surgery via laparotomy was successfully performed with remission of the symptoms. Conclusion: Colotubal fistula is a rare complication resulting from intestinal diverticular disease. The purpose of this paper was to emphasize the presence of a rare, but serious complication occurring in diverticular disease with atypical symptoms and one-stage surgery treatment.
2 citations
TL;DR: A case of Uretero-uterine fistula (UUF) in a 36 year old woman, who underwent repeat lower cesarean section two months earlier, admitted with complaints of paradoxical incontinence of urine and copious watery vaginal discharge is described.
Abstract: In this contemporary era,ureteric injuries are not uncommon They are inadvertent and overwhelming complication following pelvic surgeriesWe describe a case of Uretero-uterine fistula (UUF) in a 36 year old woman, who underwent repeat lower cesarean section two months earlier, admitted with complaints of paradoxical incontinence of urine and copious watery vaginal discharge After extensive clinical and radiological evaluations, she underwent robotic bilateral ovary preserving hysterectomy with ureteroneocystostomy (Boari flap and psoas hitch with Double J stenting)
1 citations
TL;DR: This case presents a case of entero uterine fistula, a very rare type of fistula between the small intestine and the genital tract, with a brief review of this unusual and interesting case.
Abstract: A rare complication of curettage is uterine perforation which can get complicated by gut adhesion to the uterus and very rarely formation of entero-uterine fistula. Entero-uterine fistula is a very rare type of fistula between the small intestine and the genital tract. They may result from obstetric or gynaecological procedures, pelvic tumours, inflammatory disease and post D and C perforation of the uterus. A high index of suspicion is needed to diagnose this entity. CT and MRI are useful investigations to demonstrate the site and track of fistula. Surgical resection of fistula with primary anastomosis is curative in majority of the cases. Here, case present a case of entero uterine fistula with a brief review of this unusual and interesting case.
1 citations
TL;DR: The authors' 33- year case presented with a scar site endometriosis after the third Cesarean section and the definite treatment was surgical excision of the endometrial lesion and reclosure of the skin incision.
Abstract: Endometriosis is a frequent clinical problem in women of reproductive age, which means the presence and proliferation of endometrial glands and stroma outside the uterus, the most common site of endometriosis is in the pelvic cavity, extra pelvic endometriosis as on the surgical scar (as caesarean section, laparoscopic incision, episiotomy, and hysterectomy scars) which is relatively rare, it is clinically presented by chronic pelvic pain, dysmenorrhea, dyspareunia, subfertility, infertility, and poor both maternal & fetal outcomes and even stillbirth. Caesarean section endometriosis is presented with cyclic pain and bleeding from the scar site. Our 33- year case presented with a scar site endometriosis after the third Cesarean section. MRI was done to exclude uterine fistula and a definite diagnosis has been made by histopathology. Management involved different modalities of treatment including medical management, Mirena coil insertion. However, the definite treatment was surgical excision of the endometriotic lesion and reclosure of the skin incision.
TL;DR: The case reported was diagnosed after second caesarean section when she was being evaluated for secondary infertility, and found to have genitourinary fistula.
Abstract: Genitourinary fistulas usually have devastating consequences on a woman's reproductive health. vesicouterine fistulae though uncommon variant of genitourinary fistula, are usually due to iatrogenic etiologies. The case reported was diagnosed after second caesarean section when she was being evaluated for secondary infertility.
Keywords: Youseff 'syndrome, Amenorrhea, Caesarean Section, Fistula,