What is it about?
Fistulization between the uterus and intestines is extremely rare event in the setting of Crohn’s disease. Our paper is the first case describing a sigmoidouterine fistula in a patient with Crohn’s disease who was admitted to obstetric clinic for surgery of tumor in the right ovary. Unexpectedly, surgical findings and histopathological results proved availability of and Crohn’s disease along with sigmoidouterine fistula and cystic mass (cystadenofibromas) in the right ovary.
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Why is it important?
This case expands the knowledge of fistulizing Crohn’s disease and showed for the first time that fistulization between sigmoid colon and uterus is possible in patients with Crohn’s disease.
Perspectives
A clinical suspicion of right ovarian tumor does not eliminate the possibility of diagnosing and Crohn’s disease at the same time. This case also underlines that the close cooperation between gastroenterologists, radiologists, gynecologists, surgeons and pathologists is indispensable when gynecological pathology coexists with Crohn’s disease.
Dr Andrey Iskrenov Kotzev
Medicinski universitet Sofia
Read the Original
This page is a summary of: Sigmoidouterine Fistula in Crohn’s Disease: A First Case Report, Inflammatory Bowel Diseases, November 2018, Oxford University Press (OUP),
DOI: 10.1093/ibd/izy352.
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