Behrouzi-Lak Tahereh
Urmia University of Medical Sciences, Iran
Title: Acquired Salpingo-Enteric Fistula, By Bilateral Contrast Leakage in Hysterosalpingogram
Biography
Biography: Behrouzi-Lak Tahereh
Abstract
Asymptomatic pelvic fistulas maybe a silent cause of infertility, and association can only be stated as all other factors of infertility could not be convincingly ruled out. The case of a 27 years old woman with a diagnosis of primary infertility and booked for hysterosalpingogram (HSG) as part of the routine work-up is presented. There was a positive history of pelvic surgery for bilateral adnexal cysts 3 years ago. In this case previous pelvic surgery without any medical problems was strongest risk factor for tubointestinal fistula. Cystectomy was done for left adnexal cyst and only drainage was done for the right one. Pathologic report for left ovarian cyst was endometriosis. HSG result showed evidence of bilateral fallopian tube opacification with contrast outlining from the fallopian tubes. Outlining of contrast take placed to adjacent small intestine in right side and to peritoneal cavity in the left side. Few cases with fistulous communication between the GI system and female adnexal structure have been reported in the literature, but bilateral salpingeal fistulae have been reported only in one case and this case is second one in all over the world that reported.