A rare complication after hysterectomy: A chronic colo-cutaneous fistula
Abstract
Abstract
Although adjacent organ fistulas such as the rectovaginal and vesico-vaginal fistula could be seen after hysterectomy, enterocutaneous fistulas are rarely encountered. In literature, enterocutaneous fistulas those are seen after hysterectomy are reported in association to underlying diseases such as tubo-ovarian abscess, coloovarian cyst fistula, diverticular disease and malignancy. In this report, we discussed a case that underwent abdominal hysterectomy by a diagnosis of pelvic mass 1.5 years ago, and in which the colo-cutaneous fistula formation is thought to be caused by a tubo-ovarian abscess or an iatrogenic colon injury that occurred during hysterectomy.
Keywords: Colo-cutaneous fistulas, complication, enterocutaneous fistulas, hysterectomy, tubo-ovarian abscess
Özet
Histerektomi sonrası rektovajinal, vezikovajinal fistül gibi komşu organ fistülleri görülebilmesine rağmen enterokütan fistüller oldukça nadir görülmektedir. Literatürde histerektomi sonrası görülen entereokutan fistüller tuba-ovaryan apse, kolo-ovaryan kist fistülü, divertiküler hastalık ve malignansi gibi altta yatan başka bir hastalığa bağlı bildirilmektedir. 1,5 yıl önce pelvik kitle ön tanısı ile abdominal histerektomi geçiren ve kolokütanöz fistül oluşumuna tuba ovarian apsenin veya histerektomi esnasında iyatrojenik kolon yaralanmasının sebeb olduğunu düşündüğümüz olgu literatür eşliğinde tartışılmıştır.
Anahtar sözcükler: Kolo-kutanöz fistüller, komplikasyon, enterokutanöz fistüller, histerektomi, tuba-ovaryan abse
Keywords
References
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Details
Primary Language
English
Subjects
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Journal Section
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Publication Date
February 9, 2011
Submission Date
February 9, 2011
Acceptance Date
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Published in Issue
Year 2011 Volume: 33 Number: 4