Conservative management for an entero-adnexal fstula at initial presentation of advanced ovarian carcinoma

Gastrointestinal fistulae can occur in ovarian cancer patients, usually in the setting of advanced relapsed disease. Treatment typically involves immediate surgery. Here, we describe a case of an abscess resulting from an intestinal fstula as the frst manifestation of advanced epithelial ovarian cancer, and we review the current literature on this subject. The patient was successfully treated with a combination of chemotherapy, antibiotics, and delayed surgery. Optimal debulking was achieved without a need for bowel resection. This report is the frst of conservative management of a fstula in an ovarian cancer patient in the chemotherapy-naïve setting.