1. Ileo-uterine fistula in a degenerated posterior wall fibroid after Caesarean section
- Author
-
Ahmed El Halwagy, Adel El Gergawy, Ayman Shehata, Naglaa Hussein, and Mohamed Khairallah
- Subjects
medicine.medical_specialty ,Fistula ,Uterine fibroids ,medicine.medical_treatment ,Uterus ,Case Report ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,Degenerated myoma ,0302 clinical medicine ,Uterine artery embolization ,medicine ,Caesarean section ,030219 obstetrics & reproductive medicine ,business.industry ,Myometrium ,Myoma ,medicine.disease ,Uterine Fistula ,female genital diseases and pregnancy complications ,Surgery ,medicine.anatomical_structure ,Reproductive Medicine ,business - Abstract
Uterine fibroids are benign tumors of the myometrium with a diverse range of manifestations. Fibroids can dramatically increase in size during pregnancy due to the increase in estrogen levels. After delivery, the fibroids usually shrink back to their pre-pregnancy size. Uterine myomas may have many complications, including abnormal uterine bleeding, infertility, pressure on nearby organs, degeneration, and malignant transformation. No previous reports have indicated that a fistula may develop between a uterine fibroid and the bowel loops, although previous studies have documented the occurrence of fistulas from the uterus to the bowel following myomectomy or uterine artery embolization performed to treat a myoma. In our case report, we document the rare complication of a fistula occurring between a degenerated myoma in the posterior wall and the ileum 1 week postoperatively in a patient who underwent a Caesarean section but did not have a history of uterine artery embolization.
- Published
- 2016