{"paper_id":"06052c24-2243-4bb2-acf8-52fbb3fe940a","body_text":"Colouterine Fistula Secondary to Endometriosis With Associated Chorioamnionitis\n- Vathany Sriganeshan\n- Irvin H. Willis\n- Luis A. Zarate\n- Lydia Howard\n- Morton J. Robinson\nBACKGROUND:\nIntestinal endometriosis may be complicated by bowel obstruction, colonic rupture, sepsis, and rarely, malignant transformation. Fistula formation is extremely rare.\nCASE:\nA 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.\nCONCLUSION:\nThis case illustrates a rare complication of colouterine fistula secondary to intestinal endometriosis.","source_license":"CC0","license_restricted":false}