Colouterine Fistula Complicating Diverticulitis Diagnosed at Hysteroscopy: Case Report

Different etiologies of an unusual disease: Colouterine fistula – Report of two cases

“…[ 15 ] Diagnostic hysteroscopy is also considered a very good choice for investigating patients with malodorous vaginal discharge, enabling direct visualization, and biopsy of the pathological area. [ 1 ]…”

“…Colouterine fistula is very rare condition with only around 25 reported cases of post-diverticulitis colouterine fistula so far. [ 1 2 3 4 5 6 ] Other causes include sigmoid malignancy, radiotherapy, and iatrogenic conditions such as insertion of intrauterine devices, endometrial curettage with uterine, and bowel perforation, or obstetrical injury.…”

Diverticular disease of the colon presenting as pyometra: a case report

“…Presence of air and fluid within the uterus on ultrasound or CT scan in patients with diverticulitis or diverticular abscess is highly suggestive of a fistulous communication [1-3]. Imaging modalities may show evidence of communication between the uterus and colon, but may fail to demonstrate the fistulous tract [6-8]. In our patient, the first CT scan did not reveal any fistulous tract.…”

“…Mandato et al . reported a case of a colouterine fistula at the level of the isthmus diagnosed at hysteroscopy [6]. The fistula was missed in our case during hysteroscopy due to a poor view in the presence of profuse amounts of pus.…”

“…In one case series, only 3 percent of internal fistulas caused by diverticular disease were colouterine fistula [1]. A colouterine fistula secondary to diverticulitis was first reported in 1929 [5,6]. Mandato et al .…”