Abstract:An 80-year-old woman, 2 G 2 P, with macrohematuria came to this institution for treatment. On pelvic examination, the uterus was palpated slightly large for her age, slight tenderness and resistance were noted at the uterine corpus, and the adnexa and parametrium were soft. The entire abdomen, including the Douglas pouch and pelvic bottom, were also soft. Examination a the speculum revealed swelling of the vulva and vagina and blood oozing from the entire vaginal wall. There was also a small amount of purulent… Show more
“…Abdominal CT with oral contrast would demonstrate the contrast in the uterine cavity, however it is expensive and requires X‐ray exposure. A high‐intensity echo due to a gas bubble in the uterine cavity on sonohysterography has been proposed by Kiyokawa to be a sign of the presence of an enterouterine fistula4. This sign, although less specific to an enterouterine fistula as compared with the aforementioned two examination techniques, was positive in the present case.…”
Section: Discussionsupporting
confidence: 54%
“…Identifying a fistula tract is important for the planning of surgical management. According to previous reports, antegrade approaches to a fistula tract described above seem not to be suitable for demonstrating the tract because it is too small to be detected1–4. Therefore, retrograde approaches such as hysterosalpingography and sonohysterography are more useful.…”
Section: Discussionmentioning
confidence: 99%
“…This sign, although less specific to an enterouterine fistula as compared with the aforementioned two examination techniques, was positive in the present case. Conventional examination of the colon using techniques such as barium enema and colonoscopy could detect diverticulosis, however they may not detect a fistula1–4.…”
Section: Discussionmentioning
confidence: 99%
“…A colouterine fistula secondary to sigmoid diverticulitis is very rare, and only a limited number of cases with this condition have been reported in the literature1–4. The charcoal challenge test, the detection of orally administered charcoal flowing through the cervical os, was described as a non‐invasive approach to diagnose this disease1.…”
“…Abdominal CT with oral contrast would demonstrate the contrast in the uterine cavity, however it is expensive and requires X‐ray exposure. A high‐intensity echo due to a gas bubble in the uterine cavity on sonohysterography has been proposed by Kiyokawa to be a sign of the presence of an enterouterine fistula4. This sign, although less specific to an enterouterine fistula as compared with the aforementioned two examination techniques, was positive in the present case.…”
Section: Discussionsupporting
confidence: 54%
“…Identifying a fistula tract is important for the planning of surgical management. According to previous reports, antegrade approaches to a fistula tract described above seem not to be suitable for demonstrating the tract because it is too small to be detected1–4. Therefore, retrograde approaches such as hysterosalpingography and sonohysterography are more useful.…”
Section: Discussionmentioning
confidence: 99%
“…This sign, although less specific to an enterouterine fistula as compared with the aforementioned two examination techniques, was positive in the present case. Conventional examination of the colon using techniques such as barium enema and colonoscopy could detect diverticulosis, however they may not detect a fistula1–4.…”
Section: Discussionmentioning
confidence: 99%
“…A colouterine fistula secondary to sigmoid diverticulitis is very rare, and only a limited number of cases with this condition have been reported in the literature1–4. The charcoal challenge test, the detection of orally administered charcoal flowing through the cervical os, was described as a non‐invasive approach to diagnose this disease1.…”
“…Fluid collections, and inflammatory changes within muscles. MRI was deemed no longer necessary in our patient given the results of the colonoscopy the CT scan and the transvaginal ultrasound [ [21] , [22] , [23] , [24] , [25] , [26] , [27] ].…”
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