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Updated: Nov 2, 2025

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Colouterine Fistula Treated by a Double Endoscopic Approach.

Albert Reyes Claret1, Maialen Sáez de Vicuña Salinas1, Laura Moles García1

  • 1Department of Obstetrics and Gynecology, Surgical Endoscopic Unit, Hospital Universitari Son Llàtzer, Palma, Spain.

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|June 8, 2021
PubMed
Summary

Colouterine fistulas, a rare intrauterine device (IUD) complication, can present unusually. A successful conservative endoscopic repair using hysteroscopy and laparoscopy highlights minimally invasive treatment options for IUD-related fistulas.

Keywords:
colon, sigmoidintestinal fistulaintrauterine device

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Area of Science:

  • Gynecology
  • Surgical Gastroenterology
  • Medical Device Complications

Background:

  • Colouterine fistula is an extremely rare complication associated with intrauterine device (IUD) use.
  • Menochezia is an uncommon presenting symptom for utero-intestinal fistulas secondary to IUDs.
  • Surgical intervention is typically required for definitive fistula resolution.

Discussion:

  • Severe pelvic adhesions often necessitate open surgical approaches for fistula repair.
  • Laparoscopic treatment for colouterine fistulas remains infrequently reported.
  • This case highlights a successful conservative double endoscopic repair (hysteroscopy followed by laparoscopy).

Key Insights:

  • IUD complication follow-up is crucial, as issues can arise unexpectedly.
  • Unusual symptoms warrant thorough investigation and diagnostic imaging.
  • Endoscopic approaches offer reduced complication risks and faster recovery.

Outlook:

  • Continued vigilance in IUD user follow-up is essential.
  • Advanced imaging modalities are vital for accurate diagnosis and surgical planning.
  • Minimally invasive endoscopic techniques represent a promising approach for managing rare IUD-related fistulas.