Uteroenteric fistula due to ruptured ectopic pregnancy.

Uteroenteric fistula is an unusual complication which usually results from developmental defects, inflammatory and malignant diseases or traumatic lesions. One resulting from long-standing extrauterine pregnancy is extremely rare. A case of tubo-enteric fistula diagnosed preoperatively by hysterosalpingography is here reported. A 24-year-old African presented with lower abdominal pain and secondary infertility. She had had one child aged 5 years, two miscarriages and one ectopic pregnancy for which she had a right salpingectomy four years prior to her present illness. Her menstrual cycle was regular but she had severe dysmenorrhoea. Abdominal examination revealed a palpable and tender mass low in the right iliac fossa. Vaginal examination revealed a normal-sized anteverted uterus which was displaced to the right by a tender fundal mass. The cervix and os were normal. A provisional diagnosis of uterine fibroids or omental mass associated with pelvic inflammatory disease was made. She was given a course of ...