Nigerian Postgraduate Medical Journal (Jan 2013)

Utero-peritoneal fistula, a rare complication of laparoscopic myomectomy scar dehiscence: A Case Report

  • P O Ibinaiye,
  • P Onwuhafua,
  • B Usman

Journal volume & issue
Vol. 20, no. 2
pp. 165 – 166

Abstract

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Objective: The objective is to report a case of utero-peritoneal fistula caused by laparoscopic myomectomy dehiscence, diagnosed by colour Doppler ultrasound scan and confirmed by x-ray HSG and MRI. The aim of our report lies on the importance of imaging in the diagnosis of fistulous processes involving the uterus. Case report: A 36 year old woman (G6,P0)presented with intense dysmenorrheal and intermenstrual spotting since laparoscopic myomectomy 2 years before. A laparoscopic myomectomy dehiscence with utero-peritoneal fistula was diagnosed by pelvic ultrasound, hysterosalpingogram (HSG) and magnetic resonance imaging (MRI).

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