[Surgical complications of the XXXX . A rare case of @entity12478 ].

@entity1 @entity32 @entity66 @entity12478 @entity548 @entity5450 @entity4436 @entity694 @entity221 @entity298 @entity1049
The Authors report on a rare case of @entity66 complicated by a sigmoid- vaginal fistula with personal considerations based on a review of literature. A 75 year old @entity1 becomes to our observation suffering the lost of smelly vaginal secretions without @entity221 or abdominalgia. In anamnesis hysterectomy cholecystectomy appendectomy and visceral adhesions lysis. Colonoscopy RX barium enema, gynaecological examination, vaginal buffer show diverticulis of colon sigma with @entity12478 . After laparotomy, visceral adhesions lysis, it was done sigmoid- vaginal fistula resection with healing. @entity66 is a XX century pathology with incidence (for some authors) of 50% of population. Symptomatic forms affect 30-50% of @entity1 (variable percentage based on age); the 1% of these need surgery. The @entity1049 is the principal cause of @entity66 that recognize the main localization in colon-sigma. @entity4436 with pericolic @entity32 are frequent complications; possible evolutions are local tamponed @entity298 , mechanical intestinal occlusion, @entity548 from @entity694 . @entity12478 is the most frequent in @entity1 previously treated with laparohysterectomy. The colonoscopy and RX barium enema are gold standard for instrumental diagnosis; the vaginography is diriment, urography excludes @entity5450 . The surgical treatment is the fistula resection, with or without colonic resection. In consideration of the necessity of conservative surgery and on the basis of this case, the authors suggest, if it's possible, the simple fistula resection, although the literature report an high number of relapses.
