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01.12.2014 | Case report | Ausgabe 1/2014 Open Access

Journal of Medical Case Reports 1/2014

Colouterine fistula after polymyomectomy: a case report

Journal of Medical Case Reports > Ausgabe 1/2014
Jennifer Uzan, Martin Koskas, Pierre Fournier, Anne Laure Margulies, Dominique Luton, Chadi Yazbeck
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-8-199) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

JU and CY analyzed and interpreted the patient data regarding the emergency management and the postoperative follow up. PF and CY performed the surgery. JU was a major contributor in writing the manuscript. MK and ALM revised the manuscript. DL recruited and supported the management of the case. All authors read and approved the final manuscript.



Colouterine fistula is a very rare condition; most cases described in the literature are secondary to complications of diverticulitis in elderly patients.

Case presentation

We report the case of a 34-year-old African woman who presented with a colouterine fistula secondary to polymyomectomy, which was diagnosed in the setting of severe endometritis. She had a Hartmann procedure and abundant irrigation of her abdominal and uterine cavities followed by placement of a double drainage in order to preserve fertility. This is the first case of a conservative management of the uterus in such conditions.


Conservative surgery in colouterine fistula should be discussed as an alternative to hysterectomy in young infertile women.

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