A rare complication after hysterectomy: A chronic colo-cutaneous fistula

Cilt: 33 Sayı: 4 9 Şubat 2011
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A rare complication after hysterectomy: A chronic colo-cutaneous fistula

Öz

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

Anahtar Kelimeler

Kaynakça

  1. Foster CE 3rd, Lefor AT. General management of gastrointestinal fistulas. Recognition, stabilization, and correction of fluid and electrolyte imbalances. Surg Clin North Am 1996; 76: 1019-33.
  2. Bahadursingh AM, Longo WE. Colovaginal fistulas. Etiology and management. J Reprod Med 2003; 48: 489-95.
  3. Kochakarn W. Pummangura W. A new dimension in vesicovaginal fistula management: an 8-year experience at Ramathibodi hospital. Asian J Surg 2007; 30: 267-71.
  4. Emedicine, eMedicine Specialties Urology Fistulas. Enterovesical Fistula. Available at: http://emedicine.medscape.com/article/442000-overview Updated: Nov 18, 2009. (Accessed on November 21, 2011)
  5. Soeters PB, Ebeid AM, Fischer JE. Review of 404 patients with gastrointestinal fistulas. Impact of parenteral nutrition. Ann Surg 1979; 190: 189-202.
  6. Tassiopoulos AK, Baum G, Halverson JD. Small bowel fistulas. Surg Clin North Am 1996; 76: 1175-81.
  7. Figiel LS, Figiel SJ. Report of two cases of sigmoidal fistula complicating tubo- ovarian disease. Dis Colon Rectum 1966; 9: 107-8.
  8. Farkouh E, Allard M, Paquin JG. Benign solid teratoma of the ovary with rupture into the rectum. Can J Surg 1982; 25: 77-8.

Ayrıntılar

Birincil Dil

İngilizce

Konular

-

Bölüm

-

Yayımlanma Tarihi

9 Şubat 2011

Gönderilme Tarihi

9 Şubat 2011

Kabul Tarihi

-

Yayımlandığı Sayı

Yıl 2011 Cilt: 33 Sayı: 4

Kaynak Göster

APA
Boztosun, A., Topuz, Ö., Dündar, B., & Müderris, İ. (2011). A rare complication after hysterectomy: A chronic colo-cutaneous fistula. Cumhuriyet Medical Journal, 33(4), 478-482. https://izlik.org/JA72FF64MD
AMA
1.Boztosun A, Topuz Ö, Dündar B, Müderris İ. A rare complication after hysterectomy: A chronic colo-cutaneous fistula. CMJ. 2011;33(4):478-482. https://izlik.org/JA72FF64MD
Chicago
Boztosun, Abdullah, Ömer Topuz, Betül Dündar, ve İptisam Müderris. 2011. “A rare complication after hysterectomy: A chronic colo-cutaneous fistula”. Cumhuriyet Medical Journal 33 (4): 478-82. https://izlik.org/JA72FF64MD.
EndNote
Boztosun A, Topuz Ö, Dündar B, Müderris İ (01 Aralık 2011) A rare complication after hysterectomy: A chronic colo-cutaneous fistula. Cumhuriyet Medical Journal 33 4 478–482.
IEEE
[1]A. Boztosun, Ö. Topuz, B. Dündar, ve İ. Müderris, “A rare complication after hysterectomy: A chronic colo-cutaneous fistula”, CMJ, c. 33, sy 4, ss. 478–482, Ara. 2011, [çevrimiçi]. Erişim adresi: https://izlik.org/JA72FF64MD
ISNAD
Boztosun, Abdullah - Topuz, Ömer - Dündar, Betül - Müderris, İptisam. “A rare complication after hysterectomy: A chronic colo-cutaneous fistula”. Cumhuriyet Medical Journal 33/4 (01 Aralık 2011): 478-482. https://izlik.org/JA72FF64MD.
JAMA
1.Boztosun A, Topuz Ö, Dündar B, Müderris İ. A rare complication after hysterectomy: A chronic colo-cutaneous fistula. CMJ. 2011;33:478–482.
MLA
Boztosun, Abdullah, vd. “A rare complication after hysterectomy: A chronic colo-cutaneous fistula”. Cumhuriyet Medical Journal, c. 33, sy 4, Aralık 2011, ss. 478-82, https://izlik.org/JA72FF64MD.
Vancouver
1.Abdullah Boztosun, Ömer Topuz, Betül Dündar, İptisam Müderris. A rare complication after hysterectomy: A chronic colo-cutaneous fistula. CMJ [Internet]. 01 Aralık 2011;33(4):478-82. Erişim adresi: https://izlik.org/JA72FF64MD