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Gangrenous perforating uteritis

¹Department of Surgery, Doctors Hospital, San Leandro, California.

The American Surgeon

|January 1, 1975

Summary

A rare case of uterine rupture occurred due to massive fecal impaction from perforated diverticulitis. This led to a condition mimicking appendicitis, requiring surgical intervention for recovery.

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Area of Science:

Gastroenterology
Gynecology
Surgical Pathology

Background:

Diverticulitis is a common condition, but perforation into the uterus is exceedingly rare.
Intrauterine fecal impaction can lead to severe complications.

Observation:

An 80-year-old woman presented with uterine rupture and massive intrauterine fecal impaction.
The condition resulted from sigmoid colon diverticulitis perforating into the uterine fundus.
Cicatricial cervical stenosis and uterine distensibility contributed to the fecal impaction within the uterus.

Findings:

The clinical presentation mimicked appendicitis due to stool passage into the uterus.
Surgical management included hysterectomy, sigmoid colostomy, and peritoneal flap closure of the colon fistula.

Implications:

This case highlights a unique and life-threatening complication of diverticulitis.
Prompt surgical intervention is crucial for managing uterine rupture secondary to gastrointestinal perforation.
Understanding the anatomical relationship between the colon and uterus is vital for diagnosing rare conditions.

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