One-Stage, en Bloc Resection for Colonic-Uterine Fistula Caused by Diverticulitis

Abstract

A sigmoidouterine fistula due to diverticulitis of the colon developed in one patient. This was treated by one-stage, en bloc resection of the uterus and sigmoid segment. Because of the difficulty of determining that a sigmoidouterine fistula is not due to cancer, which could be implanted in the operative field if the involved organs were separated during removal, en bloc resection when it is technically feasible seems to offer an improved chance of total recovery.