Maternal mortality   continues to be high in India particularly in the rural setups where awareness is less  and proper obstetric  and gynae facilities are not available (1). An unusual case of traumatic perforation  of uterus and injury to sigmoid colon  leading to colon- utrero faecal fistula is presented. An early diagnosis by ultra sonography and  management  by timely obstetric hysterectomy and colostomy was done to save the life . This  was followed by closure of colostomy after one month. The patient made an uneventful   recovery.