Late Post-Hysterectomy Colovaginal Fistula with Extensive Diverticular Disease

The diagnosis of colovaginal fistula came to light in this 70-year-old woman, 22 years after hysterectomy, based on clinics. But, intraoperative and histopathological diagnoses were arduous. Confirmation that a fistula extended from the sigmoid colon into the vaginal stump was sanctioned by a fragment of squamous epithelium disclosed within a colonic fistula.

[1]  L. Stocchi,et al.  Diverticular Colovaginal Fistulas: What Factors Contribute to Successful Surgical Management? , 2019, Diseases of the colon and rectum.

[2]  A. Bhakta,et al.  Laparoscopic Surgery for Diverticular Fistulas: Outcomes of 111 Consecutive Cases at a Single Institution , 2018, Journal of Gastrointestinal Surgery.

[3]  D. Fenner,et al.  Colovaginal Fistulas: Presentation, Evaluation, and Management , 2016, Female pelvic medicine & reconstructive surgery.

[4]  Yong-Man Kim,et al.  Vaginal cuff dehiscence after hysterectomy , 2013, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[5]  M. Nagino,et al.  Hepatopancreatoduodenectomy for Cholangiocarcinoma: A Single-Center Review of 85 Consecutive Patients , 2012, Annals of surgery.

[6]  S. Ansari,et al.  Posthysterectomy fallopian tube prolapse , 2012, Journal of mid-life health.

[7]  E. Qvigstad,et al.  Long-Term Outcomes Following Laparoscopic and Abdominal Supracervical Hysterectomies , 2010, Obstetrics and gynecology international.

[8]  J. Pickleman,et al.  Distal Pancreatectomy: Does the Method of Closure Influence Fistula Formation? , 2002, The American surgeon.

[9]  N. Saropala,et al.  Conservative treatment of vaginal vault granulation tissue following total abdominal hysterectomy , 1998, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[10]  I. Manyonda,et al.  The influence of suture material on vaginal vault granulations following abdominal hysterectomy , 1990, British journal of obstetrics and gynaecology.