Obstetrics and gynecology · 2006
Colouterine fistula secondary to endometriosis with associated chorioamnionitis.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Sriganeshan Vathany, Willis Irvin H, Zarate Luis A, Howard Lydia, Robinson Morton J
Аннотация
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.
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.