Colouterine fistula secondary to endometriosis with associated chorioamnionitis

Vathany Sriganeshan, Irvin H. Willis, Luis A. Zarate, Lydia Howard, Morton J. Robinson

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

BACKGROUND: Intestinal endometriosis may be complicated by bowel obstruction, colonic rupture, sepsis, and rarely, malignant transformation. Fistula formation is extremely rare. CASE: A 26-year-old woman presented at 16 weeks of gestation with an acute abdomen suggestive of ruptured appendicitis. Blood cultures were positive for Bacteroides fragilis. At laparotomy, she was found to have a colouterine fistula with pelvic sepsis. The resected specimens demonstrated extensive uterine adenomyosis and endometriosis of the cecum, with a fistulous tract lined by endometriosis and suppurative inflammation extending from the cecum to the uterine endometrial cavity associated with severe chorioamnionitis and endomyometritis. CONCLUSION: This case illustrates a rare complication of colouterine fistula secondary to intestinal endometriosis.

Original languageEnglish
Pages (from-to)451-453
Number of pages3
JournalObstetrics and Gynecology
Volume107
Issue number2 II
DOIs
StatePublished - Feb 1 2006
Externally publishedYes

Fingerprint

Chorioamnionitis
Endometriosis
Fistula
Cecum
Sepsis
Adenomyosis
faropenem medoxomil
Endometritis
Bacteroides fragilis
Acute Abdomen
Appendicitis
Laparotomy
Rupture
Inflammation
Pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Sriganeshan, V., Willis, I. H., Zarate, L. A., Howard, L., & Robinson, M. J. (2006). Colouterine fistula secondary to endometriosis with associated chorioamnionitis. Obstetrics and Gynecology, 107(2 II), 451-453. https://doi.org/10.1097/01.AOG.0000168443.22820.2e

Colouterine fistula secondary to endometriosis with associated chorioamnionitis. / Sriganeshan, Vathany; Willis, Irvin H.; Zarate, Luis A.; Howard, Lydia; Robinson, Morton J.

In: Obstetrics and Gynecology, Vol. 107, No. 2 II, 01.02.2006, p. 451-453.

Research output: Contribution to journalArticle

Sriganeshan, V, Willis, IH, Zarate, LA, Howard, L & Robinson, MJ 2006, 'Colouterine fistula secondary to endometriosis with associated chorioamnionitis', Obstetrics and Gynecology, vol. 107, no. 2 II, pp. 451-453. https://doi.org/10.1097/01.AOG.0000168443.22820.2e
Sriganeshan, Vathany ; Willis, Irvin H. ; Zarate, Luis A. ; Howard, Lydia ; Robinson, Morton J. / Colouterine fistula secondary to endometriosis with associated chorioamnionitis. In: Obstetrics and Gynecology. 2006 ; Vol. 107, No. 2 II. pp. 451-453.
@article{541429d4e58b41dda167e90190686c12,
title = "Colouterine fistula secondary to endometriosis with associated chorioamnionitis",
abstract = "BACKGROUND: Intestinal endometriosis may be complicated by bowel obstruction, colonic rupture, sepsis, and rarely, malignant transformation. Fistula formation is extremely rare. CASE: A 26-year-old woman presented at 16 weeks of gestation with an acute abdomen suggestive of ruptured appendicitis. Blood cultures were positive for Bacteroides fragilis. At laparotomy, she was found to have a colouterine fistula with pelvic sepsis. The resected specimens demonstrated extensive uterine adenomyosis and endometriosis of the cecum, with a fistulous tract lined by endometriosis and suppurative inflammation extending from the cecum to the uterine endometrial cavity associated with severe chorioamnionitis and endomyometritis. CONCLUSION: This case illustrates a rare complication of colouterine fistula secondary to intestinal endometriosis.",
author = "Vathany Sriganeshan and Willis, {Irvin H.} and Zarate, {Luis A.} and Lydia Howard and Robinson, {Morton J.}",
year = "2006",
month = "2",
day = "1",
doi = "10.1097/01.AOG.0000168443.22820.2e",
language = "English",
volume = "107",
pages = "451--453",
journal = "Obstetrics and Gynecology",
issn = "0029-7844",
publisher = "Lippincott Williams and Wilkins",
number = "2 II",

}

TY - JOUR

T1 - Colouterine fistula secondary to endometriosis with associated chorioamnionitis

AU - Sriganeshan, Vathany

AU - Willis, Irvin H.

AU - Zarate, Luis A.

AU - Howard, Lydia

AU - Robinson, Morton J.

PY - 2006/2/1

Y1 - 2006/2/1

N2 - BACKGROUND: Intestinal endometriosis may be complicated by bowel obstruction, colonic rupture, sepsis, and rarely, malignant transformation. Fistula formation is extremely rare. CASE: A 26-year-old woman presented at 16 weeks of gestation with an acute abdomen suggestive of ruptured appendicitis. Blood cultures were positive for Bacteroides fragilis. At laparotomy, she was found to have a colouterine fistula with pelvic sepsis. The resected specimens demonstrated extensive uterine adenomyosis and endometriosis of the cecum, with a fistulous tract lined by endometriosis and suppurative inflammation extending from the cecum to the uterine endometrial cavity associated with severe chorioamnionitis and endomyometritis. CONCLUSION: This case illustrates a rare complication of colouterine fistula secondary to intestinal endometriosis.

AB - BACKGROUND: Intestinal endometriosis may be complicated by bowel obstruction, colonic rupture, sepsis, and rarely, malignant transformation. Fistula formation is extremely rare. CASE: A 26-year-old woman presented at 16 weeks of gestation with an acute abdomen suggestive of ruptured appendicitis. Blood cultures were positive for Bacteroides fragilis. At laparotomy, she was found to have a colouterine fistula with pelvic sepsis. The resected specimens demonstrated extensive uterine adenomyosis and endometriosis of the cecum, with a fistulous tract lined by endometriosis and suppurative inflammation extending from the cecum to the uterine endometrial cavity associated with severe chorioamnionitis and endomyometritis. CONCLUSION: This case illustrates a rare complication of colouterine fistula secondary to intestinal endometriosis.

UR - http://www.scopus.com/inward/record.url?scp=33645454347&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33645454347&partnerID=8YFLogxK

U2 - 10.1097/01.AOG.0000168443.22820.2e

DO - 10.1097/01.AOG.0000168443.22820.2e

M3 - Article

VL - 107

SP - 451

EP - 453

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

SN - 0029-7844

IS - 2 II

ER -