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A Rare Case of Diverticulitis With a Colo-Adnexal Fistula

Varsha Gopalan¹, William G Baker², Shayla Albright³

¹Obstetrics and Gynecology, American University of Antigua, New York, USA.

|November 15, 2023

Abstract:

Diverticulitis is a very common cause of hospitalization in the United States with fistula formation being a common complication. However, a fistula formation between the sigmoid colon and an ovary is an exceptional rarity. We present a case of a 22-year-old female with a colo-ovarian fistula misdiagnosed as a tubo-ovarian abscess after a recent episode of diverticulitis. Initial workup, imaging studies, and treatment ending with Hartmann's procedure with eventual colostomy reversal are described. A review of similar cases within the literature and fistulas is also presented.

Keywords:

abcess colo-adnexal diverticulitis fistula hartmann’s procedure

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