2018, Number 4
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ABSTRACTBackground: Endometriosis is the presence of endometrial glands or viable stroma outside the uterine cavity, which affects approximately 2-10% of women of reproductive age 1. Pelvic structures, including the bowel, are commonly affected. Perforation of the colon by endometriosis is very rare and represents a surgical emergency. Clinical case: A 28-year-old female patient with abdominal pain in the right iliac fossa and pelvic cavity, fever and nausea, exploratory laparotomy is performed with the discovery of sigmoid perforation of the colon, requiring resection of the lesion and terminal colostomy, finding as definitive diagnosis endometriosis. Conclusion: Bowel or colon perforation is a rare but serious complication, which should always be kept in mind as a suspicion of acute abdomen in a female patient of reproductive age and with a history of intermittent gastrointestinal symptoms.
Costa A, Sartini A. Deep endometriosis induced spontaneous colon rectal perforation in pregnancy: laparoscopy is advanced tool to confirm diagnosis. Case Rep Obstet Gynecol. 2014;2014:907150.
Albareda J, Albi MV, Sosa G, Cano A, Macello ME, Albi Martin B. Puerperal ileal perforation secondary to endometriosis: case report and literature review. Taiwan J Obstet Gynecol. 2016;55:121-4.
Dimoulios P, Koutroubakis IE, Tzardi M, Antoniou P, Matalliotakis IM, Kouroumalis EA. A case of sigmoid endometriosis difficult to differentiate from colon cancer. BMC Gastroenterol. 2003;3:18.
Tong YL, Chen Y, Zhu SY. Ileocecal endometriosis and a diagnosis dilemma: a case report and literature review. World J Gastroenterol. 2013;19:3707e10.
Galazis N, Arul D, Wilson J, Pisal N. Bowel endometriosis. BMJ Case Rep. 2014. pii: bcr2013202140. doi: 10.1136/bcr-2013-202140.
Setubal A, Sidiropoulou Z. Bowel complications of deep endometriosis during pregnancy or in vitro fertilization. Fertil Steril. 2014;101:442-6.
Garg NK, Bagul NB. Intestinal endometriosis — a rare cause of colonic perforation. World J Gastroenterol. 2009;15:612-4.