Document Detail

Preoperative diagnosis of colouterine fistula secondary to diverticulitis by sonohysterography with contrast medium.
MedLine Citation:
PMID:  15476298     Owner:  NLM     Status:  MEDLINE    
Colouterine fistulae secondary to sigmoid diverticulitis are unusual. Methods for diagnosis remain to be established. We report a case with a colouterine fistula in which sonohysterography detected the flow of ultrasound contrast medium between the uterine cavity and the sigmoid colon through the posterior uterine wall, thus confirming the diagnosis. The diagnosis was further substantiated by a charcoal challenge test. The patient underwent en bloc resection of the uterus, Fallopian tubes, ovaries and sigmoid colon, the organs involved with diverticulitis. This is the first report to describe a colouterine fistula successfully diagnosed by sonohysterography using ultrasound contrast medium.
T Takada; S Nakagawa; K Hashimoto; K Sone; K Kugu; S Kozuma; Y Taketani
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology     Volume:  24     ISSN:  0960-7692     ISO Abbreviation:  Ultrasound Obstet Gynecol     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-11-08     Completed Date:  2005-04-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9108340     Medline TA:  Ultrasound Obstet Gynecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  682-3     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Faculty of Medicine, The University of Tokyo, Tokyo, Japan.
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MeSH Terms
Diverticulosis, Colonic / complications,  ultrasonography*
Fistula / etiology,  ultrasonography*
Intestinal Fistula / etiology,  ultrasonography*
Preoperative Care / methods
Sigmoid Diseases / complications,  ultrasonography*
Uterine Diseases / etiology,  ultrasonography*

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