A 77-year-old woman came to the emergency department due to pain, abdominal distension, vomiting and absence of bowel movements for the previous 24h. Physical examination revealed a distended abdomen with diffuse pain, no peritoneal irritation and a small right inguinal hernia that was reduced manually. After the administration of a gastrografin swallow to study the intestinal transit, we observed the passage of contrast material to the uterine cavity (Fig. 1).
After hernia reduction, the patient's symptoms improved, and the start of bowel movements was observed; we therefore decided to keep the patient for observation.
Please cite this article as: Bermello Meza C, Caso O, Cobo C, Jiménez Romero C. Fístula colouterina secundaria a enfermedad diverticular del colon. Hallazgo radiográfico incidental. Cir Esp. 2016;94:48.