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KMID : 0371320040660050435
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Journal of the Korean Surgical Society
2004 Volume.66 No. 5 p.435 ~ p.437
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Colo-uterine Fistula Caused by Sigmoid Diverticulitis
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Hong Soo-Jung
Hwang Jae-Kwan
Park Seong-Heum
Kim Jong-Heung
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Abstract
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A colo-uterine fistula is a rare complication of diverticular disease, due to the resistance of the uterine tissue. Only 18 cases have been reported in the world literature. Here, a case of an 82-year-old woman, with a colo-uterine fistula secondary to diverticulitis, is described. She presented with a malodorous vaginal discharge. A barium enema revealed colonic diverticulosis with a fistula tract to the body of uterus. The clinical symptoms were not specific, with the exception of the purulent material and stools from the vagina. A Sigmoidectomy, with fistula tract removal, and simple closure of the uterus was performed curatively.
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