Abstract
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.
Highlights
Intra-abdominal fistulas display a mainly reactive basis, and may originate in inflammatory bowel disease
The vaginal stump cap is a fragile structure, consisting in part of granulation tissue and that tends to evolve into vaginal cuff dehiscence [6]
The patient had undergone total abdominal hysterectomy (TAH) 22 years prior to the present medical occurrence, we will attempt to understand the significance of the operative complication as part of the medical history
Summary
Illya Pinsk a , Igor Diomin b, Daniel Benharroch b , Anton Osyntsov a, Elad Leron c a Surgery B, Soroka University Medical Center and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel. B Pathology, Soroka University Medical Center and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel. C Gynecological-Urologic Unit, Obstetrics and Gynecology B, Soroka University Medical Center and Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
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