• Title/Summary/Keyword: Degenerated myoma

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Ileo-uterine fistula in a degenerated posterior wall fibroid after Caesarean section

  • Shehata, Ayman;Hussein, Naglaa;El Halwagy, Ahmed;El Gergawy, Adel;Khairallah, Mohamed
    • Clinical and Experimental Reproductive Medicine
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    • v.43 no.1
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    • pp.51-53
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    • 2016
  • Uterine fibroids are benign tumors of the myometrium with a diverse range of manifestations. Fibroids can dramatically increase in size during pregnancy due to the increase in estrogen levels. After delivery, the fibroids usually shrink back to their pre-pregnancy size. Uterine myomas may have many complications, including abnormal uterine bleeding, infertility, pressure on nearby organs, degeneration, and malignant transformation. No previous reports have indicated that a fistula may develop between a uterine fibroid and the bowel loops, although previous studies have documented the occurrence of fistulas from the uterus to the bowel following myomectomy or uterine artery embolization performed to treat a myoma. In our case report, we document the rare complication of a fistula occurring between a degenerated myoma in the posterior wall and the ileum 1 week postoperatively in a patient who underwent a Caesarean section but did not have a history of uterine artery embolization.