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Clinical and Experimental Obstetrics & Gynecology  2021, Vol. 48 Issue (2): 431-433    DOI: 10.31083/j.ceog.2021.02.2306
Case Report Previous articles | Next articles
Colouterine fistula secondary to pyometra: a case report
Moon Kyoung Cho1, Tae Young Kim1, Chul Hong Kim1, *()
1Department of Obstetrics and Gynecology, Chonnam National University Medical School, 61469 Gwangju, Korea
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Pyometra is defined as the collection of purulent material in the uterine cavity. Colouterine fistula is a rare condition with less than 30 cases being reported in the literature. We believe this to be the first reported case of colouterine fistula secondary to pyometra. An 85-year-old woman with generalized abdominal pain and malodorous vaginal discharge for two weeks presented to the emergency room of Chonnam national university hospital. Physical examination confirmed the presence of the malodorous vaginal discharge. Abdominopelvic computed tomography scan demonstrated an abscess within the endometrial cavity and the presence of a fistula between the colon and the uterus. The patient underwent magnetic resonance imaging which revealed a communication between the distal sigmoid colon and the uterus. Total abdominal hysterectomy, bilateral salpingo-oophorectomy, drainage of the abscess and a sigmoid colon resection were performed. Histopathological study of the surgical specimen revealed acute suppurative inflammation without evidence of malignancy.
Key words:  Pyometra      Fistula      Abdominal pain     
Submitted:  25 September 2020      Revised:  10 December 2020      Accepted:  23 December 2020      Published:  15 April 2021     
*Corresponding Author(s):  Chul Hong Kim     E-mail:

Cite this article: 

Moon Kyoung Cho, Tae Young Kim, Chul Hong Kim. Colouterine fistula secondary to pyometra: a case report. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(2): 431-433.

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