Ileo-uterine fistula in a degenerated posterior wall fibroid
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Case report
A 25-year-old patient presented with an 8×7-cm posterior wall fibroid diagnosed for the first time during pregnancy at 12 weeks. The course of the pregnancy was smooth, with mild enlargement of the fibroid to the size of 10×9 cm.

The patient delivered by Caesarean section at a private clinic due to malpresentation (breech presentation). In the first week postpartum, the patient experienced malodorous vaginal discharge. The patient sought medical advice and antibiotics were given for 14 days, but the discharge did not resolve and the patient felt a mass inside the vagina.

The patient presented to Tanta University Hospitals where she was admitted, and under general anesthesia, an examination revealed a solid mass extending from the cervix into the vagina. A biopsy was taken from the mass for histopathological examination, and it was identified as a degenerated cellular fibroid polyp.

Antibiotics also were given for 14 days after a culture and sensitivity test, but the discharge still did not resolve. At this point, the patient became frustrated and sought medical advice from more senior practitioners, who advised her to receive gonadotropin-releasing hormone analogues for 2 months. Nonetheless, the discharge was not cured; it became more malodorous as well as greenish and stool-like in character.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4838582/
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