Ömer TOPUZ, Abdullah BOZTOSUN, Betül DÜNDAR, İptisam İpek MÜDERRİS

A rare complication after hysterectomy: A chronic colo-cutaneous fistula

Histerektomi sonrası rektovajinal, vezikovajinal fistül gibi komşu organ fistülleri görülebilmesinerağmen enterokütan fistüller oldukça nadir görülmektedir. Literatürde histerektomi sonrası görülenentereokutan fistüller tuba-ovaryan apse, kolo-ovaryan kist fistülü, divertiküler hastalık vemalignansi gibi altta yatan başka bir hastalığa bağlı bildirilmektedir. 1,5 yıl önce pelvik kitle öntanısı ile abdominal histerektomi geçiren ve kolokütanöz fistül oluşumuna tuba ovarian apseninveya histerektomi esnasında iyatrojenik kolon yaralanmasının sebeb olduğunu düşündüğümüzolgu literatür eşliğinde tartışılmıştır.

Histerektomi sonrası nadir bir komp likasyon: kronik kolo-kutanöz f istül

Although adjacent organ fistulas such as the rectovaginal and vesico-vaginal fistula could be seenafter hysterectomy, enterocutaneous fistulas are rarely encountered. In literature, enterocutaneousfistulas those are seen after hysterectomy are reported in association to underlying diseases such astubo-ovarian abscess, coloovarian cyst fistula, diverticular disease and malignancy. In this report,we discussed a case that underwent abdominal hysterectomy by a diagnosis of pelvic mass 1.5years ago, and in which the colo-cutaneous fistula formation is thought to be caused by a tubo- ovarian abscess or an iatrogenic colon injury that occurred during hysterectomy.

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