Table 1.

Timeline of events. Day 0 represents admission to the emergency department.

−4 yrs	Initiated medical management for endometriosis with dienogest
−3 yrs	Laparoscopic excision of endometriosis, left salpingectomy, lysis of adhesions
−18 mo	Referred to reproductive endocrinology and infertility for primary infertility with background history of deep endometriosis
−6 days	HyCoSy and endometrial biopsy
Day 0	ED presentation with pelvic inflammatory disease and sepsis
+2 days	Laparoscopy converted to laparotomy with abdominal washout and debridement Tuberculosis and Group A strep ruled out
+3 days	Blood cultures on Day 0 speciated Klebsiella
+7 days	Repeat blood cultures on Day +3 negative Culture from OR on Day 2 resulted polymicrobial
+10 days	Repeat blood cultures on Day +6 negative New frank rectal bleeding
+11 days	Total abdominal hysterectomy, bilateral oophorectomy, right salpingectomy, bilateral ureterolysis, enterolysis, sigmoidoscopy, cystoscopy, repair of bladder cystotomy, right ureteric stent
+13 days	Cultures from OR Day +11 speciated Candida Repeat blood cultures Day +9 negative Respiratory cultures positive for yeast
+17 days	Post-op ileus 18 cm intra-abdominal abscess, percutaneous drain placed by interventional radiology
+21 days	Ileus resolved
+24 days	Successful trial of void, CT urogram normal
+27 days	Percutaneous drain removed
+31 days	Discharged from hospital, to continue IV antibiotics with close follow-up