Asymptomatic colo-ovarian fistula amidst acute psychosis: a case report.
Journal of surgical case reports
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.
Mansour MR, Kessler SA, Khreisat A, Skrzynski JK. Asymptomatic colo-ovarian fistula amidst acute psychosis: a case report. J Surg Case Rep. 2023. England: Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023.; 2023. p. rjad525. PMID: 37901605