Rectal endometriosis –rare case of intestinal obstruction. Case report

• Authors: Paweł Rambuszek , Tomasz Miłek
• Languages of publication: EN

Abstracts

EN

The study presented a case of a 32-year old female patient admitted to the department of surgery with symptoms of abdominal pain and retention of gas and stool. The abdominal X-ray examination showed signs of intestinal obstruction. Abdominal CT suggested the possibility of a cancerous lesion located in the colon. The patient was qualified for surgical intervention. An anterior rectal resection was performed. The histopathological examination revealed the presence of colorectal endometriosis. After two months the patient was subject to gastrointestinal continuity restoration. Endometriosis is a rare cause of intestinal obstruction, considering patients hospitalized in the department of general surgery.

Keywords

EN

rectal carcinoma; gastrointestinal tract endometriosis

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2013
• Volume: 85
• Issue: 4
• Pages: 219-222

Dates

published

1 - 04 - 2013

online

01 - 05 - 2013

Contributors

author

Paweł Rambuszek

• 1st Chair and Department of General and Vascular Surgery, II Division, Warsaw Medical University Kierownik: prof. dr hab. P. Ciostek

author

Tomasz Miłek

• 1st Chair and Department of General and Vascular Surgery, II Division, Warsaw Medical University Kierownik: prof. dr hab. P. Ciostek

References

• 1. Redwine DB: Diaphragmatic endometriosis: diagnosis, surgical management, and long-term results of treatment. Fertil Steril 2002; 77: 288-96.[PubMed][Crossref]
• 2. Sampson JA : The development of the implantation theory for the origin of peritoneal endometriosis. Am J O bstet Gynecol 1942; 40: 549-62.
• 3. Jenkins S , Olive DL, Haney A F: Endometriosis: pathogenetic implications of the anatomic distribution. Obstet Gynecol 1986; 67: 335-38.[PubMed]
• 4. Gupta J , Shepherd NA: Colorectal mass lesions masquerading as chronic inflammatory bowel disease on mucosal biopsy. Histopathology 2003; 42: 476-81.[Crossref]
• 5. Nezhat F, Nezhat C, Pennington E, Ambroze Q: Laparoscopic segmental resection for infiltrating endometriosis of the rectosigmoid colon: a preliminary report. Surg Laparosc Endosc Percutan Tech 2001; 11: 67-68.[Crossref]
• 6. Pishvaian A C, Ahlawat S K, Garvin D, HaddadNG: Role of EUS and EUS-guided FNA in the diagnosis of symptomatic rectosigmoid endometriosis. Gastrointest Endosc 2006; 63: 331-35.[Crossref][PubMed]
• 7. Campagnacci R , Perretta S , Guerrieri M et al.: Laparoscopic colorectal resection for endometriosis. Surg Endosc 2005; 19: 662-64.[Crossref]
• 8. Collin GR , Russell J C: Endometriosis of the colon: its diagnosis and management. Am Surg 1990; 56: 275-79.[PubMed]
• 9. Graham B , Mazier W P: Diagnosis and management of endometriosis of the colon and rectum. DisColon Rectum 1988; 31: 952-56.
• 10. Urbach DR, Reedijk M, Richard CS et al.: Bowel resection for intestinal endometriosis. Dis ColonRectum 1998; 41: 1158-64.
• 11. Czernobilsky B . Endometriosis. W : Haines and Taylor’s obstetrical and gynaecological pathology. Red. Fox H, Wells M. 4th ed. Churchill Livingstone. Edinburgh 1995; 1043-62.
• 12. Midorikawa Y, Kubota K, Kubota K et al.: Endometriosis of the rectum causing bowel obstruction: a case report. Hepatogastroenterology 1997; 44: 706-09.[PubMed]
• 13. Varras M, Kostopangiotou E, Katis K et al.: Endometriosis causing extensive intestinal obstruction simulating carcinoma of the sigmoid colon: a case report and review of the literature. Eur J Gynaecol Oncol 2002; 23: 353-57.[PubMed]
• 14. Mussa FF, Younes Z , Tihan T , Lacy B E: Anasarca and small bowel obstruction secondary to endometriosis. J Clin Gastroenterol 2001; 32: 167‑71.[PubMed][WoS][Crossref]
• 15. Borsellino G , Buonaguidi A , Veneziano S et al.: Endometriosis of the large intestine: a report of 2 clinicalcases. Minerva Ginecol 1993; 45: 443‑47.

Identifiers

DOI

10.2478/pjs-2013-0034