• Natalia Darii Plopa, Nicolae Gica, Marie Gerard, Marie-Cécile Nollevaux, Milenko Pavlovic, and Emil Anton.
• Department of Gynecology, CHU de Charleroi, 6000 Charleroi, Belgium.
• Medicina (Kaunas). 2020 Sep 17; 56 (9).

BackgroundColosalpingeal fistula is a rare complication secondary to diverticular disease. The pathogenesis is still not clearly understood. We present the case of a colosalpingeal fistula and a review of the management of this pathology.Case ReportA 69-year-old patient with uncomplicated diverticular disease was referred to our department for recurrent vaginal discharge. The clinical examination was unremarkable, hysteroscopy revealed the presence of air in the uterine cavity in the absence of a uterine fistula. A preliminary diagnosis of colosalpingeal fistula was made and was confirmed by computed tomography (CT) scan and hysterosalpingography. A one-stage surgery via laparotomy was successfully performed with remission of the symptoms.ConclusionColotubal fistula is a rare complication resulting from intestinal diverticular disease. The purpose of this paper was to emphasize the presence of a rare, but serious complication occurring in diverticular disease with atypical symptoms and one-stage surgery treatment.

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