Colouterine Fistula Secondary to Endometriosis With Associated Chorioamnionitis

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. Bloo...

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Published inObstetrics and gynecology (New York. 1953) Vol. 107; no. 2, Part 2 Suppl; pp. 451 - 453
Main Authors Sriganeshan, Vathany, Willis, Irvin H., Zarate, Luis A., Howard, Lydia, Robinson, Morton J.
Format Journal Article
LanguageEnglish
Published New York, NY The American College of Obstetricians and Gynecologists 01.02.2006
Elsevier Science
Subjects
Adult
Biological and medical sciences
Cecal Diseases - complications
Chorioamnionitis
Colonic Diseases - etiology
Diseases of mother, fetus and pregnancy
Endometriosis - complications
Female
Female genital diseases
Fistula - etiology
Gynecology. Andrology. Obstetrics
Humans
Intestinal Fistula - etiology
Medical sciences
Non tumoral diseases
Pregnancy
Pregnancy. Fetus. Placenta
Uterine Diseases - etiology
Colouterine fistula
Secondary
Chorioamnionitis
Pregnancy disorders
Digestive system
Gynecology
Gut
Endometriosis
Fistula
Placenta diseases
Obstetrics
Female genital diseases
Pregnancy
Fetal diseases
Uterus
Female genital system
Uterine diseases
Delivery disorders
Complication
Colon
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Summary: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.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ISSN:0029-7844
1873-233X
DOI:10.1097/01.AOG.0000168443.22820.2e