| Persistent ischiorectal fistula with supralevator origin secondary to a chronic tubo-ovarian abscess: report of a case and review of the literature. | |
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MedLine Citation:
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PMID: 22453273 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Chronic tubo-ovarian abscess is an uncommon finding in postmenopausal women. This abscess may rupture or fistulize to adjacent organs into the ischiorectal space. CASE: A gravida three, para three, postmenopausal woman with extensive sigmoid diverticulosis presented with perianal fistula of 2 years' duration. Magnetic resonance imaging showed the tract to have a supralevator origin adjacent to the sigmoid colon. She had no recent instrumentation other than preoperative colonoscopy. Intraoperatively, the fistula tract origin was noted to be from a right tubo-ovarian abscess. She was treated with right salpingo-oophorectomy and tract excision/sealing. At 4-month follow-up, the fistula tract was healed with no further drainage. CONCLUSIONS: Tubo-ovarian abscess should be considered in the differential diagnosis of supralevator fistula in postmenopausal women when no other source can be localized. |
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Authors:
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Erol V Belli; Ron G Landmann; Stephanie L Koonce; Anita H Chen; Philip P Metzger |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Female pelvic medicine & reconstructive surgery Volume: 18 ISSN: 2151-8378 ISO Abbreviation: Female Pelvic Med Reconstr Surg Publication Date: 2012 Jan-Feb |
Date Detail:
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Created Date: 2012-03-28 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101528690 Medline TA: Female Pelvic Med Reconstr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 66-7 Citation Subset: IM |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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