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
- 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.
- Bahadursingh AM, Longo WE. Colovaginal fistulas. Etiology and management. J Reprod Med 2003; 48: 489-95.
- 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.
- 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)
- Soeters PB, Ebeid AM, Fischer JE. Review of 404 patients with gastrointestinal fistulas. Impact of parenteral nutrition. Ann Surg 1979; 190: 189-202.
- Tassiopoulos AK, Baum G, Halverson JD. Small bowel fistulas. Surg Clin North Am 1996; 76: 1175-81.
- Figiel LS, Figiel SJ. Report of two cases of sigmoidal fistula complicating tubo- ovarian disease. Dis Colon Rectum 1966; 9: 107-8.
- Farkouh E, Allard M, Paquin JG. Benign solid teratoma of the ovary with rupture into the rectum. Can J Surg 1982; 25: 77-8.
- Shiels WE, Dueno F, Hernandez E. Ovarian dermoid cyst complicated by an entero-ovarian fistula. Radiology 1986; 160: 443-4.
- Landmann DD, Lewis RW. Benign cystic ovarian teratoma with colorectal involvement. Report of a case and review of the literature. Dis Colon Rectum 1988; 31: 808-13.
- Skipper D, Moran B, Dormandy JA, Heald RJ. Two cases of colo-ovarian cyst fistula. Int J Colorectal Dis 1995; 10: 70-2.
- Goldenberg NJ. Dermoid perforation of the colon. Gastrointest Radiol 1978; 25; 3: 221-2.
- Gilks CB, Clement PB. Colo-ovarian fistula: a report of two cases. Obstet Gynecol 1987; 69: 533-7.
- Limbscomb GH, Link FW. Tubo-ovarian abscess in postmenopausal patients South Med J 1992; 85: 696-9.
- Jackson SL, Soper DE. Pelvic inflammatory disease in the postmenopausal woman. Infect Dis Obstet Gynecol 1999; 7: 248-52.
- Donnez O, Jadoul P, Squifflet J, Donnez J. A series of 3190 laparoscopic hysterectomies for benign disease from 1990 to 2006: evaluation of complications compared with vaginal and abdominal procedures. BJOG 2009; 116: 492-500.
- Carl P. Vesico-ovarian fistula in suppurative ovarian inflammation and salpingitis J Urol 1990; 143: 352-3.
- London AM, Burkman RT. Tuboovarian abscess with associated rupture and fistula formation into the urinary bladder: report of two cases. Am J Obstet Gynecol 1979; 135: 1113-4.
- Altman LC. Ovarian abscess and vaginal fistula. Obstet Gynecol 1972; 40: 321-2.
- Balasz A, Plinta M, Marczyński K. Case of ovarian abscess with fistula following along the inguinal canal. Pol Tyg Lek 1965; 20: 1469-70.
- Mishueva NA. A rare case of tubo-ovarian-abdominal wall fistula. Akush Ginekol (Mosk) 1957; 33: 89-90.
- Forsgren C, Lundholm C, Johansson AL, Cnattingius S, Altman D. Hysterectomy for benign indications and risk of pelvic organ fistula disease. Obstet Gynecol 2009; 114: 594-9.
Öz
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
Kolo-kutanöz fistüller komplikasyon enterokutanöz fistüller histerektomi
Kaynakça
- 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.
- Bahadursingh AM, Longo WE. Colovaginal fistulas. Etiology and management. J Reprod Med 2003; 48: 489-95.
- 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.
- 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)
- Soeters PB, Ebeid AM, Fischer JE. Review of 404 patients with gastrointestinal fistulas. Impact of parenteral nutrition. Ann Surg 1979; 190: 189-202.
- Tassiopoulos AK, Baum G, Halverson JD. Small bowel fistulas. Surg Clin North Am 1996; 76: 1175-81.
- Figiel LS, Figiel SJ. Report of two cases of sigmoidal fistula complicating tubo- ovarian disease. Dis Colon Rectum 1966; 9: 107-8.
- Farkouh E, Allard M, Paquin JG. Benign solid teratoma of the ovary with rupture into the rectum. Can J Surg 1982; 25: 77-8.
- Shiels WE, Dueno F, Hernandez E. Ovarian dermoid cyst complicated by an entero-ovarian fistula. Radiology 1986; 160: 443-4.
- Landmann DD, Lewis RW. Benign cystic ovarian teratoma with colorectal involvement. Report of a case and review of the literature. Dis Colon Rectum 1988; 31: 808-13.
- Skipper D, Moran B, Dormandy JA, Heald RJ. Two cases of colo-ovarian cyst fistula. Int J Colorectal Dis 1995; 10: 70-2.
- Goldenberg NJ. Dermoid perforation of the colon. Gastrointest Radiol 1978; 25; 3: 221-2.
- Gilks CB, Clement PB. Colo-ovarian fistula: a report of two cases. Obstet Gynecol 1987; 69: 533-7.
- Limbscomb GH, Link FW. Tubo-ovarian abscess in postmenopausal patients South Med J 1992; 85: 696-9.
- Jackson SL, Soper DE. Pelvic inflammatory disease in the postmenopausal woman. Infect Dis Obstet Gynecol 1999; 7: 248-52.
- Donnez O, Jadoul P, Squifflet J, Donnez J. A series of 3190 laparoscopic hysterectomies for benign disease from 1990 to 2006: evaluation of complications compared with vaginal and abdominal procedures. BJOG 2009; 116: 492-500.
- Carl P. Vesico-ovarian fistula in suppurative ovarian inflammation and salpingitis J Urol 1990; 143: 352-3.
- London AM, Burkman RT. Tuboovarian abscess with associated rupture and fistula formation into the urinary bladder: report of two cases. Am J Obstet Gynecol 1979; 135: 1113-4.
- Altman LC. Ovarian abscess and vaginal fistula. Obstet Gynecol 1972; 40: 321-2.
- Balasz A, Plinta M, Marczyński K. Case of ovarian abscess with fistula following along the inguinal canal. Pol Tyg Lek 1965; 20: 1469-70.
- Mishueva NA. A rare case of tubo-ovarian-abdominal wall fistula. Akush Ginekol (Mosk) 1957; 33: 89-90.
- Forsgren C, Lundholm C, Johansson AL, Cnattingius S, Altman D. Hysterectomy for benign indications and risk of pelvic organ fistula disease. Obstet Gynecol 2009; 114: 594-9.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 9 Şubat 2011 |
| Yayımlandığı Sayı | Yıl 2011Cilt: 33 Sayı: 4 |