Ghorpade Rina, Iswaravaka Vyshnavi, Parekh Nitant, Tissavirasingham Fiona
Internal Medicine, Canton Medical Education Foundation, Northeast Ohio Medical University (NEOMED), Canton, USA.
Geriatrics, University of Maryland, Baltimore, Baltimore, USA.
Cureus. 2022 Jul 26;14(7):e27271. doi: 10.7759/cureus.27271. eCollection 2022 Jul.
Enterouterine fistula is a rare complication of endometrial carcinoma, typically associated with a clinical presentation of malodorous vaginal discharge. We present a case of occult metastatic endometrial cancer with an initial presentation of embolic stroke, further complicated by an incidental finding of enterouterine fistula on imaging. This case uniquely describes a patient with no symptoms suggestive of uterine malignancy or enterouterine fistula, highlighting a rare presentation of this occult malignancy and further emphasizing the importance of preventative screening.
子宫外瘘是子宫内膜癌的一种罕见并发症，通常伴有恶臭阴道分泌物的临床表现。我们报告一例隐匿性转移性子宫内膜癌，最初表现为栓塞性中风，影像学检查偶然发现子宫外瘘，使病情进一步复杂化。该病例独特地描述了一名没有子宫恶性肿瘤或子宫外瘘症状提示的患者，突出了这种隐匿性恶性肿瘤的罕见表现，并进一步强调了预防性筛查的重要性。
