Persistent Ischiorectal Fistula With Supralevator Origin Secondary to a Chronic Tubo-Ovarian Abscess: Report of a Case and Review of the Literature

被引:2
作者
Belli, Erol V. [1 ]
Landmann, Ron G. [1 ]
Koonce, Stephanie L. [1 ]
Chen, Anita H. [1 ]
Metzger, Philip P. [1 ]
机构
[1] Mayo Clin Jacksonville, Div Colorectal Surg, Jacksonville, FL 32224 USA
来源
FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY | 2012年 / 18卷 / 01期
关键词
tubo-ovarian abscess; supralevator fistula;
D O I
10.1097/SPV.0b013e31823bdbe2
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background: Chronic tubo-ovarian abscess is an uncommon finding in postmenopausal women. This abscess may rupture or fistulize to adjacent organs into the ischiorectal space. Case: A gravida three, para three, postmenopausal woman with extensive sigmoid diverticulosis presented with perianal fistula of 2 years' duration. Magnetic resonance imaging showed the tract to have a supralevator origin adjacent to the sigmoid colon. She had no recent instrumentation other than preoperative colonoscopy. Intraoperatively, the fistula tract origin was noted to be from a right tubo-ovarian abscess. She was treated with right salpingo-oophorectomy and tract excision/sealing. At 4-month follow-up, the fistula tract was healed with no further drainage. Conclusions: Tubo-ovarian abscess should be considered in the differential diagnosis of supralevator fistula in postmenopausal women when no other source can be localized.
引用
收藏
页码:66 / 67
页数:2
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