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 journalArticlepeer-review

8 Scopus citations


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 (US)
Pages (from-to)451-453
Number of pages3
JournalObstetrics and gynecology
Issue number2 II
StatePublished - Feb 1 2006

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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