Chronic lower abdominal pain in an elderly female patient: a case report about sigmoid colon fistula and pelvic abdominal infection

• Published in: BMC women's health Vol. 24; no. 1; pp. 535 - 6
• Main Authors: Zhang, Xiaomin, Chen, Xiuji
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 27-09-2024; BioMed Central; BMC
• Subjects: Abdomen; Abdominal pain; Abdominal Pain - diagnosis; Abdominal Pain - etiology; Aged; Case report; Case reports; Causes of; Chronic abdominal pain; Colon, Sigmoid; Complications and side effects; Diagnosis; Elderly female; Female; Fistula, Intestinal; Humans; Intestinal Fistula - complications; Intestinal Fistula - diagnosis; Medical treatment; Pain; Pelvic Infection - complications; Pelvic Infection - diagnosis; Pelvic inflammatory disease; Risk factors; Sigmoid colon fistula; Sigmoid Diseases - complications; Sigmoid Diseases - diagnosis; Sterilization, Tubal - adverse effects; Tubal injection sterilization; Tuberculosis; Womens health; China; Sigmoid colon fistula; Tubal injection sterilization; Case report; Chronic abdominal pain; Elderly female
• ISSN: 1472-6874; 1472-6874
• DOI: 10.1186/s12905-024-03375-7

An elderly woman patient presented with a history of recurrent right lower abdominal pain accompanied by fever and abnormal vaginal discharge for 36 years worse for two weeks. Conservative medical treatment was ineffective, by laparoscopic exploration combined with intraoperative colonoscopy, the presence of a sigmoid colon fistula and pelvic abdominal infection with foreign bodies were confirmed. It was hypothesized that the occurrence of recurrent right lower abdominal pain and intestinal fistula may be potentially associated with tubal injection sterilization performed 36 years ago.