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Colouterine fistula after polymyomectomy: a case report
Jennifer Uzan, Martin Koskas, Pierre Fournier
1Obstetrics and Gynecology Department, Bichat-Claude Bernard Hospital, APHP, Paris 7 University, 46 rue Henri Huchard, 75018 Paris, France. chadi.yazbeck@bch.aphp.fr.
Introduction:
Colouterine fistula is a very rare condition; most cases described in the literature are secondary to complications of diverticulitis in elderly patients.
Case Presentation:
We report the case of a 34-year-old African woman who presented with a colouterine fistula secondary to polymyomectomy, which was diagnosed in the setting of severe endometritis. She had a Hartmann procedure and abundant irrigation of her abdominal and uterine cavities followed by placement of a double drainage in order to preserve fertility. This is the first case of a conservative management of the uterus in such conditions.
Conclusion:
Conservative surgery in colouterine fistula should be discussed as an alternative to hysterectomy in young infertile women.
