Colouterine fistula is a rare complication of acute diverticulitis of the colon. It is estimated to present in less than 2-3% of all diverticulitis-associated fistulas. We present herein a 67-year-old woman that was admitted to the emergency service due to abdominal pain, fever, and increased volume in the hypogastrium, with no signs of peritoneal irritation. A CAT scan identified complicated diverticulitis with the presence of a colouterine fistula (fig. 1A-C). Transvaginal drainage was unsuccessful and so the patient underwent laparotomy, with en bloc resection of the sigmoid colon, the uterus, and the uterine appendages. The histopathologic study of the specimen reported the presence of a fistula, whose tract measured 3.5cm.
Ethical disclosuresProtection of human and animal subjectsThe authors declare that no experiments were performed on humans or animals for this study.
Confidentiality of dataThe authors declare that they have followed the protocols of their work center on the publication of patient data.
Right to privacy and informed consentThe authors declare that no patient data appear in this article.
Financial disclosureNo financial support was received in relation to this article.
The authors used their own resources.
Conflict of interestThe authors declare that there is no conflict of interest.
Please cite this article as: Guevara-Morales GR, Maldonado-Barrón R. Fístula colo-uterina. Una complicación rara en diverticulitis aguda. Revista de Gastroenterología de México. 2019;84:104–105.
