Colouterine fistula as a complication of colonic diverticulitis: a conservative approach

Abstract

ABSTRACTColouterine fistula is a rare complication of diverticular disease. Few cases have been reported in the literature. A wide spectrum of presentations may accompany this entity. In our experience it simulated uterine perforation at time of surgery. Diagnosis was confirmed by histopathology. Surgery has been suggested to be the treatment of choice in this situation, with resection of the colon as the main step; hysterectomy is mandatory to extirpate the sinus of infection. We undertook a conservative approach in this patient and did a simple repair of the colon. Hysterectomy was carried out. We believe that this would be a safe alternative to resection of the colon.