Acquired Salpingo-Enteric Fistula – A Case Report
Abstract
Hysterosalpingogram a common radiological examination is routinely used in the investigation of infertility and sub-fertility in women. The close proximity of the uterus to adjacent pelvic structures results in various types of pelvic fistulas after pelvic disease, pelvic radiation therapy, trauma or pelvic surgery. The case of a 34 years old Para 0+1 woman with a diagnosis of secondary infertility and booked for hysterosalpingogram as part of the routine work-up is presented. There was a positive history of chronic pelvic inflammatory disease, myomectomy and appendicectomy. The result showed evidence of opacification of the right fallopian tube with contrast outlining the adjacent large bowels.Asymptomatic pelvic fistulas maybe a silent cause of infertility, and association can only be stated as all other factors of infertility could not be convincingly ruled out (Afr J Reprod Health 2010; 14[1]:139143).
RĖSUMĖ
Fistule de la salpingo–intestinale acquise – Un compte rendu. L’on se sert systématiquement de l’ hystérosalpinogramme, un examen radiologique commun, pour étudier la stérilité et la sous–stérilité chez la femme. Le fait que l’utérus est très proche des structures pelviennes avoisinantes mène à de divers types des fistules pelviennes suite à une maladie pelvienne, une radiothérapie, le traumatisme ou une chirurgie pelvienne. Le cas d’une nullipare âgée de 34 ans avec un diagnostic de la stérilité secondaire et pour qui une place a été réservée pour l’hystérosalpinogramme comme faisant partie du bilan de routine, est présenté dans cette étude. Il y avait une histoire positive de la salpingite aigüe, la myomectomie et l’appendicectomie. Le résultat a montré une évidence de l’opacification de la troupe utérine droite y compris le contraste qui trace les grande lignes de gros intestins adjacents. Des fistules pelviennes asymptomatiques peuvent être une cause silencieuse de la stérilité et l’on ne peut que citer l’association puisque les autres facteurs de la stérilité ne pouvaient pas être facilement exclus (Afr J Reprod Health 2010; 14[1]:139-143).
KEYWORDS: Hysterosalpingogram, Infertility, Utero-enteric fistula
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