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Vol. 84. Num. 1.January - March 2019
Pages 1-126
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112
Vol. 84. Num. 1.January - March 2019
Pages 1-126
Clinical image in Gastroenterology
DOI: 10.1016/j.rgmxen.2019.01.004
Open Access
Colouterine fistula: A rare complication of colonic diverticulitis
Fístula colo-uterina. Una complicación rara en diverticulitis aguda
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112
G.R. Guevara-Moralesa,
Corresponding author
grobertoguevara@gmail.com

Corresponding author. Av. Díaz Mirón esquina Sayula sin número Fraccionamiento Moderno, Veracruz, Veracruz, Mexico, C.P. 91918. Phone: (229) 927 92 29
, R. Maldonado-Barrónb
a Departamento de Cirugía General, Hospital Regional de Veracruz, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Veracruz, Veracruz, Mexico
b Servicio de Coloproctología, Hospital Regional de Veracruz, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Veracruz, Veracruz, Mexico
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Colouterine fistula is a rare complication of acute diverticulitis of the colon. It is estimated to present in less than 2-3% of all diverticulitis-associated fistulas. We present herein a 67-year-old woman that was admitted to the emergency service due to abdominal pain, fever, and increased volume in the hypogastrium, with no signs of peritoneal irritation. A CAT scan identified complicated diverticulitis with the presence of a colouterine fistula (fig. 1A-C). Transvaginal drainage was unsuccessful and so the patient underwent laparotomy, with en bloc resection of the sigmoid colon, the uterus, and the uterine appendages. The histopathologic study of the specimen reported the presence of a fistula, whose tract measured 3.5cm.

Ethical disclosuresProtection of human and animal subjects

The authors declare that no experiments were performed on humans or animals for this study.

Confidentiality of data

The authors declare that they have followed the protocols of their work center on the publication of patient data.

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The authors declare that no patient data appear in this article.

Financial disclosure

No financial support was received in relation to this article.

The authors used their own resources.

Conflict of interest

The authors declare that there is no conflict of interest.

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Please cite this article as: Guevara-Morales GR, Maldonado-Barrón R. Fístula colo-uterina. Una complicación rara en diverticulitis aguda. Revista de Gastroenterología de México. 2019;84:104–105.

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Revista de Gastroenterología de México

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