Pyometra secondary to colouterine fistula as a complication of diverticulitis

Valverde, Francisco Miguel González; Ramos, María Jesús

doi:10.1007/s00192-020-04573-1

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2023

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“…It is commonly caused by malignancy, radiation cervicitis, atrophic cervicitis with aging, and the use of an intrauterine device ( 1 ). Diverticular disease is one of the rarest causes of pyometra, and in almost all such cases, the inflammation of diverticulitis directly spreads toward the uterus through a fistula ( 2 - 4 ). It is quite interesting that one prior report concluded the cause of the pyometra to be a fistula between the sigmoid colon and the oviduct ( 5 ).…”

Section: Discussionmentioning

confidence: 99%

Pyometra and Pyogenic Spondylitis with Suspected Involvement of Diverticulitis of the Sigmoid Colon

et al. 2023

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Pyometra is a rare disease in which pus accumulates in the uterus and is typically caused by stenosis of the cervix. Only a few case reports have indicated that diverticular disease causes pyometra. We herein report an 83-year-old woman presented to our hospital with a fever, loss of appetite, general fatigue and back pain. After some inspections, she was diagnosed with pyometra and lumbar pyogenic spondylitis secondary to diverticulitis of the sigmoid colon. We performed transvaginal drainage and continued antibiotic administration for about three months. The pyometra and pyogenic spondylitis successfully resolved, and she did not experience any recurrence.

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