Colouterine Fistula Presenting as Postmenopausal Endometritis

A 76-year-old female presenting with postmenopausal bleeding and fever was admitted for suspected endometritis. Speculum exam was notable for yellow-green discharge. Endometrial biopsy showed benign endometrial glands along with feces and medication resin particles. Pelvic ultrasound revealed asymmetrical rectosigmoid wall thickening concerning for diverticulitis or malignancy (Figure 1).
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Images In Gynecological Surgery Source Type: research

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ConclusionThere is an increased prevalence of colonic diverticular disease in the population with ADPKD.
Source: International Journal of Colorectal Disease - Category: Gastroenterology Source Type: research
Pathogenesis of acute diverticulitis and diverticular bleeding remains poorly defined, and few data compare directly risk factors for these complications.
Source: Digestive and Liver Disease - Category: Gastroenterology Authors: Tags: Alimentary Tract Source Type: research
Abdominal pain is a common presenting symptom with a broad array of potential etiologies. Meckel diverticulum (MD), the most common congenital gastrointestinal malformation, classically presents with painless gastrointestinal bleeding. However, it can also lead to diverticulitis, intussusception, or obstruction, manifesting as abdominal pain.
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Clinical Communications: Pediatric Source Type: research
Conclusion: The triple-staple technique is a safe alternative to the double-staple anastomosis after anterior resection. It also effectively shortens the operating time. PMID: 32054240 [PubMed - as supplied by publisher]
Source: Annals of Coloproctology - Category: Gastroenterology Tags: Ann Coloproctol Source Type: research
Abstract Evaluation and management of acute lower gastrointestinal bleeding focus on etiologies originating distally to the ligament of Treitz. Diverticular disease is the most common source, accounting for 40% of cases. Hemorrhoids, angiodysplasia, infectious colitis, and inflammatory bowel disease are other common sources. Initial evaluation should focus on obtaining the patient's history and performing a physical examination, including evaluation of hemodynamic status. Subsequent evaluation should be based on the suspected etiology. Most patients should undergo colonoscopy for diagnostic and therapeutic purpose...
Source: American Family Physician - Category: Primary Care Authors: Tags: Am Fam Physician Source Type: research
AbstractBackgroundEpidemiological studies show an increasing trend of hospitalization for acute diverticulitis (AD), but data regarding the trend in hospitalization for complicated AD in Italy are scarce. The aim of this study was to analyze the Italian trend in hospitalization for complicated AD, from 2008 to 2015.MethodsUsing the Italian Hospital Information System, we identified all patients with complicated colonic AD as a discharge diagnosis. Age- and sex-specific rates for AD as well as type of hospital admission (emergency/elective), type of complication (peritonitis, obstruction, bleeding, abscess, fistula, perfora...
Source: Techniques in Coloproctology - Category: Surgery Source Type: research
AbstractPurpose of ReviewSmall bowel diverticulosis is a well-known clinical entity whose diagnosis and management has evolved in recent years. This review covers pathophysiology, incidence, and prevalence, and it also provides an update on modern diagnosis and management. Meckel ’s diverticula are covered elsewhere in this volume.Recent FindingsCT scan and MRI have largely supplanted barium follow-through for diagnosis. No intervention is needed in asymptomatic individuals. Endoscopic management is playing an increasing role for both bleeding and resection of intraduodenal diverticula, but surgical intervention rema...
Source: Current Gastroenterology Reports - Category: Gastroenterology Source Type: research
Approximately 60% of adults over the age of 60 have diverticulosis, of whom 5% will experience complications such as diverticulitis or diverticular bleeding. There are an estimated 300,000 hospital admissions per year in the United States for diverticulitis (Clin Gastroenterol Hepatol 2013;11:1609-13). Despite this burden of disease, risk stratification and prevention strategies for diverticulitis are lacking. Based on the observation that diverticulitis prevalence is significantly higher in developed countries where diets are typically low in fiber, it has been hypothesized that high fiber intake is protective.
Source: Gastroenterology - Category: Gastroenterology Authors: Source Type: research
AbstractPurpose of ReviewMeckel ’s diverticulum may be detected incidentally or present with symptoms from infancy and to old age. The presentation may be acute, with several complications associated with the condition. We aim to review the many faces with which a Meckel’s diverticulum may present, either symptomatically or as an incidental finding.Recent FindingsDue to its rarity, recent studies mainly include small retrospective series or case reports. Emphasis in the recent literature is on clinical presentation, the pathology of symptomatic cases, management options and risks of neoplasia. Symptoms are main...
Source: Current Gastroenterology Reports - Category: Gastroenterology Source Type: research
Publication date: Available online 26 September 2019Source: The American Journal of SurgeryAuthor(s): Erica Pettke, Natasha DeNicola, Abhinit Shah, Vesna Cekic, Xiaohong Yan, H.M.C. Shantha Kumara, Nipa Gandhi, Richard L. WhelanAbstractBackgroundSplenic flexure mobilization (SFM) increases left colonic reach for a better vascularized and tension-free anastomosis. Open SFM is challenging due to anatomic position. Minimally invasive SFM improves visualization and minimizes splenic traction.MethodsWe retrospectively reviewed all sigmoid and low anterior resections (LAR) by a colorectal surgical group over 10-year period. We a...
Source: The American Journal of Surgery - Category: Surgery Source Type: research
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