Moquet P Y, Letoquart J P, Pompilio M, Kunin N, La Gamma A, Mambrini A
Service de Chirurgie Générale A, CHR de Rennes, Hôpital Sud.
J Chir (Paris). 1991 Oct;128(10):419-23.
The authors report one case of sigmoid-uterine fistula of diverticular origin with a favorable outcome after an ideal colectomy associated with subtotal hysterectomy. They emphasize the rarity of this complication, due to the resistance of the uterine tissue. Its diagnosis is primarily clinical, and other examinations are required only to establish the etiological diagnosis. Surgery must be curative, ideally in one stage including the treatment of the diverticular disease and that of its gynecological consequences, which may vary according to the local conditions.
作者报告了1例憩室源性乙状结肠-子宫瘘病例，在理想的结肠切除术联合次全子宫切除术后取得了良好的效果。他们强调了这种并发症的罕见性，这是由于子宫组织具有抵抗力。其诊断主要依靠临床，仅在需要确立病因诊断时才进行其他检查。手术必须具有根治性，理想情况下为一期手术，包括治疗憩室病及其妇科后果，具体手术方式可能因局部情况而异。
