Biomaterial Database

Gangrenous perforating uteritis. 1975

J O Shaffer

Department of Surgery, Doctors Hospital, San Leandro, California.

A massive intrauterine fecal impaction with gangrene and uterine rupture occurred in an 80-year-old woman from a ruptured diverticulitis of the colon which penetrated into the fundus of the uterus. Cicatricial stenosis of the cervix and distensibility of the fundus together with stool discharging into the uterus caused a sequence of events similar to that of appendicitis. The patient recovered after hysterectomy, peritoneal flap closure of the low pelvic colon fistula site, and sigmoid colostomy.

UI	MeSH Term	Description	Entries
D007412	Intestinal Fistula	An abnormal anatomical passage between the INTESTINE, and another segment of the intestine or other organs. External intestinal fistula is connected to the SKIN (enterocutaneous fistula). Internal intestinal fistula can be connected to a number of organs, such as STOMACH (gastrocolic fistula), the BILIARY TRACT (cholecystoduodenal fistula), or the URINARY BLADDER of the URINARY TRACT (colovesical fistula). Risk factors include inflammatory processes, cancer, radiation treatment, and surgical misadventures (MEDICAL ERRORS).	Cholecystoduodenal Fistula,Colovesical Fistula,Enterocutaneous Fistula,Fistula, Cholecystoduodenal,Fistula, Colovesical,Fistula, Enterocutaneous,Fistula, Intestinal
D003125	Colostomy	The surgical construction of an opening between the colon and the surface of the body.	Colostomies
D004239	Diverticulitis, Colonic	Inflammation of the COLONIC DIVERTICULA, generally with abscess formation and subsequent perforation.	Colonic Diverticulitis
D005244	Fecal Impaction	Formation of a firm impassable mass of stool in the RECTUM or distal COLON.	Fecalith,Feces, Impacted,Impaction, Fecal
D005260	Female		Females
D005402	Fistula	Abnormal communication most commonly seen between two internal organs, or between an internal organ and the surface of the body.	Fistulas
D005734	Gangrene	Death and putrefaction of tissue usually due to a loss of blood supply.	Gangrenes
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368	Aged	A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available.	Elderly
D000369	Aged, 80 and over	Persons 80 years of age and older.	Oldest Old