Colouterine Fistula Treated by a Double Endoscopic Approach

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.