Asymptomatic colo-ovarian fistula amidst acute psychosis: a case report.

Document Type

Article

Publication Date

10-1-2023

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

DOI

10.1093/jscr/rjad525

ISSN

2042-8812

PubMed ID

37901605

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