{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:53:22Z","timestamp":1767678802473,"version":"3.48.0"},"reference-count":14,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,12,20]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Recto-uterine fistula is an exceptionally rare clinical entity characterised by an abnormal communication between the rectum and uterine cavity. We report the case of a young woman who presented with cyclical passage of blood per rectum coinciding with menstruation\u2014a symptom known as menochezia. Her symptoms began approximately 2\u2009weeks after undergoing a dilatation and curettage procedure performed for second-trimester miscarriage. MRI revealed a fistulous tract of 5\u2009mm between the posterior uterine wall and anterior rectal wall, confirming the diagnosis. Laparoscopic and hysteroscopic evaluation followed by minimally invasive surgical repair successfully resolved the fistula. This case highlights the importance of considering recto-uterine fistula in patients with post-procedural menochezia and underscores the value of MRI in diagnosis and laparo-hysteroscopic surgery as an effective treatment approach.<\/jats:p>","DOI":"10.1136\/bcr-2025-270130","type":"journal-article","created":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:50:20Z","timestamp":1767678620000},"page":"e270130","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Gynaecological gastrointestinal crossroad: rectouterine fistula presenting as menochezia"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3400-8161","authenticated-orcid":false,"given":"Sudwita","family":"Sinha","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, AIIMS Patna, Patna, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mukta","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, AIIMS Patna, Patna, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kislay","family":"Kant","sequence":"additional","affiliation":[{"name":"Surgical Gastroenterology, AIIMS Patna, Patna, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Upasna","family":"Sinha","sequence":"additional","affiliation":[{"name":"Radio Diagnosis, AIIMS Patna, Patna, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,1,5]]},"reference":[{"key":"2026010521501200000_19.1.e270130.1","doi-asserted-by":"crossref","first-page":"37","DOI":"10.11138\/gchir\/2017.38.1.037","article-title":"Neoplastic sigmoid-uterine fistula. 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