Colo-ovarian fistula masquerading as tubo-ovarian abscess: a case report.

ABSTRACT:

Background

Colo-ovarian fistulas are exceptionally rare complications of diverticulitis, with very few cases documented. Their nonspecific presentation often mimics gynecologic pathology, frequently leading to misdiagnosis and delayed treatment. Currently, there are no standardized guidelines for diagnosis or management of colo-ovarian fistulas. This unique case describes a patient who initially presented with findings suggestive of a tubo-ovarian abscess (TOA), but contrast-enhanced computed tomography (CT) with oral and rectal contrast revealed a colo-ovarian fistula, illustrating a potential diagnostic pathway for this rare condition.

Case description

A 36-year-old woman with no significant medical history presented with left lower quadrant abdominal pain. Initial evaluat

SUBMITTER: Tou LC 

PROVIDER: S-EPMC12593145 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature