Diagnosis and Methods of Repair for a Uteroperitoneal Fistula (UPF) Formed After Gynecological Surgeries

• Published in: Curēus (Palo Alto, CA) Vol. 15; no. 12; p. e51064
• Main Authors: Wada, Nagisa, Tamate, Masato, Matsuura, Motoki, Saito, Tsuyoshi
• Format: Journal Article
• Language: English
• Published: United States Cureus Inc 25-12-2023; Cureus
• Subjects: Abdomen; Asymptomatic; Communication; Cysts; Endometriosis; Endometrium; Fallopian tubes; Fertility; Fistula; Gynecological surgery; Infertility; Laparoscopy; Medical diagnosis; Menstruation; Obstetrics/Gynecology; Other; Ovaries; Pathophysiology; Pregnancy complications; Uterus; gynecological complication; laparoscopy; infertility; fistula; hysteroscopy
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.51064

A uteroperitoneal fistula (UPF) is a rare disorder that can lead to infertility and has never been reported. UPFs can cause infertility and perinatal complications. A 34-year-old woman (gravida 0) with a history of three gynecological surgeries using a uterine manipulator was diagnosed with a UPF using hysteroscopy and hysterosalpingography. She underwent laparoscopic uterine repair as an infertility treatment. The uterine perforation may have been caused by uterine manipulator insertion or suture failure in the myometrium during her previous laparoscopic myomectomy and cystectomy procedures. The UPF disappeared after the current surgical treatment. The complications of UPFs include infection, infertility, ectopic pregnancy, and uterine rupture. We expected that the presence of a fistula would increase the risk of impaired fertilization, implantation failure, and ectopic pregnancy. This case report contributes valuable insights into the diagnosis of UPFs and their laparoscopic repair.