Different etiologies of an unusual disease: Colouterine fistula & #8211; Report of two cases

Rohit Aggarwal, Venkatraman Indiran, Prabakaran MaduraimuthuIndian Journal of Radiology and Imaging 2018 28(1):37-40 Colouterine fistula is an extremely rare condition, as the uterus is a thick, muscular organ. Here, we present two different etiologies for this rare condition—diverticulitis and malignancy. A 77-year-old female with colouterine fistula due to diverticulitis presented with complaints of lower abdominal pain localized particularly in the left iliac fossa and fever. Another case was of 73-year-old female with colouterine fistula due to malignancy who presented with abdominal pain, blood in stools, and whitish discharge from vagina. Both cases were evaluated with contrast-enhanced computed tomography (CECT). The presence of air and fluid within the uterus on ultrasound or CT scan, prompts the possibility of colouterine fistula with CECT providing accurate preoperative assessment.
Source: Indian Journal of Radiology and Imaging - Category: Radiology Authors: Source Type: research