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Salpingo Enteric Fistula: A Case Report.

Tahereh Behrouzi-Lak1, Vahideh Aghamohammadi2, Niloofar Afshari3

  • 1Department of Obstetrics, Gynecology and Reproductive Sciences, Urmia University of Medical Science, Urmia, Iran.

International Medical Case Reports Journal
|June 18, 2020
PubMed
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This case report details a rare instance of bilateral tubo-intestinal fistula, a serious complication following pelvic surgery. Adhering to surgical principles is crucial for preventing such unusual complications in gynecological procedures.

Area of Science:

  • Reproductive Medicine
  • Surgical Complications
  • Diagnostic Imaging

Background:

  • Fistulous communication between the gastrointestinal (GI) system and female adnexal structures is exceptionally rare.
  • Bilateral contrast spillage during hysterosalpingography (HSG) is an extremely infrequent finding, with only one prior reported case.

Observation:

  • A 27-year-old woman with primary infertility presented for HSG.
  • A history of pelvic surgery for bilateral adnexal cysts in 2014 was noted.
  • HSG revealed bilateral fallopian tube opacification with contrast leakage into the small intestine on the right and the peritoneal cavity on the left.

Findings:

  • The patient's prior pelvic surgery, including cystectomy and drainage for adnexal cysts (one pathologically confirmed as endometriosis), was identified as the primary risk factor.
Keywords:
endometriosisfallopian tubeshysterosalpingograminfertilitytubo-intestinal fistula

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  • The HSG findings demonstrated a bilateral tubo-intestinal fistula, a second reported case globally.

    • Implications:

    • This case underscores the rarity of tubo-intestinal fistulas and highlights the importance of meticulous surgical technique and vigilant postoperative care.
    • Adherence to general surgical principles can mitigate both common and uncommon postoperative complications in gynecological surgery.