Asymptomatic Colo-Ovarian Fistula Amidst Acute Psychosis: A Case Report

Authors

Meghan R. Mansour, Oakland University William Beaumont School of Medicine Medical Student
Steven A. Kessler, Oakland University William Beaumont School of Medicine Medical Student
Ali Khreisat, Beaumont Health Resident
Justin K. Skrzynski, Beaumont Health

Document Type

Article

Publication Date

10-25-2023

Publication Title

Journal of Surgical Case Reports

Abstract

This paper presents a rare case of an asymptomatic colo-ovarian fistula in a 45-year-old female with acute psychosis and a history of bipolar disorder, seizure disorder and substance misuse. The intricate diagnostic challenges arising from the patient's complex medical history underscore the significance of a multidisciplinary approach. The absence of typical gastrointestinal symptoms and the presence of a tubo-ovarian abscess complicated the diagnosis of acute on chronic sigmoid diverticulitis and colo-ovarian fistula. Surgical intervention, including sigmoid resection, anastomosis and left salpingo-oophorectomy, led to successful resolution. This case highlights the need for further understanding of colo-ovarian fistula pathophysiology, improved diagnostic strategies, and the nuanced interplay between medical and psychiatric conditions in complex clinical scenarios.

Volume

2023

Issue

10

First Page

rjad52

Recommended Citation

Mansour MR, Kessler SA, Khreisat A, Skrzynski JK. Asymptomatic colo-ovarian fistula amidst acute psychosis: a case report. J Surg Case Rep. 2023 Oct 25;2023(10):rjad525. doi: 10.1093/jscr/rjad525. PMID: 37901605.

DOI

10.1093/jscr/rjad525

ISSN

2042-8812

PubMed ID

37901605