Clin Exp Reprod Med.  2016 Mar;43(1):51-53. 10.5653/cerm.2016.43.1.51.

Ileo-uterine fistula in a degenerated posterior wall fibroid after Caesarean section

• Shehata A
• Hussein N
• El Halwagy A
• El Gergawy A
• Khairallah M

• KMID: 2161362
• DOI: http://doi.org/10.5653/cerm.2016.43.1.51

Abstract

Uterine fibroids are benign tumors of the myometrium with a diverse range of manifestations. Fibroids can dramatically increase in size during pregnancy due to the increase in estrogen levels. After delivery, the fibroids usually shrink back to their pre-pregnancy size. Uterine myomas may have many complications, including abnormal uterine bleeding, infertility, pressure on nearby organs, degeneration, and malignant transformation. No previous reports have indicated that a fistula may develop between a uterine fibroid and the bowel loops, although previous studies have documented the occurrence of fistulas from the uterus to the bowel following myomectomy or uterine artery embolization performed to treat a myoma. In our case report, we document the rare complication of a fistula occurring between a degenerated myoma in the posterior wall and the ileum 1 week postoperatively in a patient who underwent a Caesarean section but did not have a history of uterine artery embolization.

Keyword

Degenerated myoma; Fistula; Uterine fibroids

MeSH Terms

Animals
Cesarean Section*
Estrogens
Female
Fistula*
Humans
Ileum
Infertility
Leiomyoma*
Mice
Myoma
Myometrium
Pregnancy
Uterine Artery Embolization
Uterine Hemorrhage
Uterus
Estrogens