Sigmoid vaginal fistula

Colovaginal fistula is one form of genitourinary fistula. It is also sometimes classed under a type of gastro-intestinal fistula. Pathology It refers to a communication between the colon (typically the rectum or sigmoid colon) with the vagina.

During chemotherapy, she complained of a foul smelling discharge from the vagina. Fistulography revealed a sigmoid - vaginal fistula. What is new and conclusion.

A vaginal fistula is an abnormal opening that connects your vagina to another organ. For example, a vaginal fistula can link your vagina to your:. A rare complication of diverticular disease is the formation of fistulas, most commonly either colo-vesical or colo- vaginal. We present the unusual case of a perforated sigmoid diverticulum forming a colo-gluteal fistula and presenting initially as a gluteal abscess in an otherwise asymptomatic patient.

Diverticulitis in Western countries usually involves the sigmoid colon, and fistulization most frequently arises from this segment. A rectovaginal fistula (RVF) is an epithelial-lined tract between. The rectovaginal septum is the thin septum separating the anterior rectal wall and the posterior vaginal wall. Based on the above examinations, a diagnosed of a sigmoid colovesical fistula caused by diverticulitis was forme and open abdominal surgery was performed.

Colouterine fistula is an extremely rare condition because the uterus is a thick, muscular organ. Here, we present a case of a colouterine fistula secondary to colonic diverticulitis. An 81-year-old woman was referred to the emergency department with abdominal pain and vaginal discharge. The size and location of the fistula and its underlying etiology dictate what needs to be done.

A fistula caused by diverticular disease may require a sigmoid colectomy with an approach from the abdomen, with takedown and repair of the fistula interposed with normal tissue in between (such as omentum). Due to close proximity of the fallopian tube and sigmoid colon communication can develop when either of them have diseased wall. Colosalpingeal fistula can be clinically suspected when there are associated genito-urinary symptoms like vaginal discharge, in a known case of sigmoid diverticulitis. At colonoscopy, injection of gastrographin confirmed a fistula from the sigmoid colon toward the vagina. From these findings, sigmoid - vaginal fistula probably caused by sigmoid diverticulitis was diagnosed and partial resection of the sigmoid colon and closure of the fistula with sutures were performed.

The postoperative course was uneventful. Kessler Background: There are hardly any data on laparoscopic surgery for sigmoid diverticulitis complicated by entero-vesical and - vaginal fistulas. Laparoscopic hand-assisted sigmoid resection with repair of vaginal fistula.

Mobilization of the splenic flexure. However, fistula formation with nearby organs in the pelvis is an extremely rare complication of tubo-ovarian abscess. The bladder, rectum, and sigmoid colon have been reported as fistula -forming organs with tubo-ovarian abscess.

Here we present a case of sigmoidal fistula secondary to a tubo-ovarian abscess. A gastrointestinal fistula (GIF) is an abnormal opening in your digestive tract that causes gastric fluids to seep through the lining of your stomach or intestines. This can result in infection. WHAT IS KNOWN AND OBJECTIVE: There have been several reports describing rectovaginal fistula development after bevacizumab treatment, and these fistulas were diagnosed by CT scan or colonoscopy.

We report a case of sigmoid - vaginal fistula diagnosed by fistulography. CASE DESCRIPTION: The case is a 53-year-old woman who was treated for chronic myelogenous leukaemia and gynaecological cancers 8. Rectovaginal fistula is an epithelial-lined tract between the rectum and vagina 1). Colovesicular Fistula : A 69-year-old male presented with left lower quadrant pain, fever, and dysuria. Acute diverticulitis complicated by fistula formation - UpToDate. Sigmoid -gluteal fistula : a rare complication of fistulating diverticular.

The fistula tract is curetted gently. Circular muscle is closed over the fistula. The tip of the flap, which includes the fistula opening, is excised.

The flap is sutured in place with simple interrupted absorbable sutures, effectively closing the rectal opening of the fistula. The vaginal side of the fistula is left open for drainage. A colovesical fistula is an uncommon condition. It’s an open connection between the colon (large intestine) and the bladder. Closure of the fistula is included in the excision of intestine.

So, if colovaginal fistula was resected from the sigmoid colon, on which colectomy was performe then colovaginal fistula would not be separately reported and it will be considered inclusive in the CPT code of sigmoid colectomy. A computed tomography scan of her abdomen and a colonoscopy were performe which confirmed the diagnosis of a colo- vaginal fistula.