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>Journals >Cirujano General >Year 2001, Issue 3


Millán E, Pérez GR, Bretón MA, Morales NV, Esperante S, Di Silvio M
Obstruction of the colon secondary to intraluminal rectal endometriosis: Report on one case
Cir Gen 2001; 23 (3)

Language: Español
References: 16
Page: 185-188
PDF: 4. Kb.


Full text




ABSTRACT

Objective: To describe a patient with low intestinal obstruction, secondary to an intraluminal rectal endometriosis.
Description of the case: Female patient, 38 years of age, with clinical symptoms of 2 years of evolution characterized by dysmenorrhea. Six month before her admittance to the hospital, she presented rectal hemorrhage related to the menstrual period, constipation, incomplete evacuation sensation, and decrease in fecescaliber. Enema of the colon and colonoscopy were performed, finding a stenosis of the rectum at 15 cm from the anal border. The biopsy at the lesion site revealed endometrial tissue. The patient evolved with low intestinal obstruction and was therefore subjected to surgery. Due to the presence of multiple adherences, only colostomy of the sigmoid and distal closure of the Hartmann pouch were performed. The patient was programmed for a new surgery in 90 days to restitute intestinal transit, a previous colonoscopy and biopsy revealed chronic, moderate, unspecific inflammation. Total abdominal hysterectomy, bilateral oopherectomy, resection of the stenotic areas, and colorectal anastomosis were performed during this new surgery.
Conclusion: Frequency of intestinal lesions due to endometriosis is, in general, of 3-34% and constitutes less than 1% of all the causes of low intestinal obstruction. Total abdominal hysterectomy with bilateral oopherectomy must be considered in any patient with severe endometriosis and who does not plan future pregnancies.


Key words: Colon, uterus, colon obstruction, endometriosis, hysterectomy.


REFERENCIAS

  1. Ranney B. Etiology, prevention and inhibition of endometriosis. Clin Obstet Gynecol 1980; 23: 875-83.

  2. Rokitansky C. Ueber. Uterosdrusen-neubilding in uterus ovarian sarcomen. Z Gessellschaft Aetz Wie 1860; 16: 577-81.

  3. Meyer R. Ueber entzzundliche heterotope ephitelwucherungen im weiblichen genital gebiete and ubre eine bis in die wurzel des mesocolon ausgedehnte beningne wuche erung des darnephitels. Virchow Arch 1909; 195: 487-53.

  4. Prystowsky JB, Stryker SJ, Ujiky GT, Poticha SM. Gastrointestinal endometriosis. Incidence and indications for resection. Arch Surg 1988; 123: 855-8.

  5. Michael J. Zinner Maingot. Abdominal operations 1997; 1299.

  6. Scott RB, Te Linde RW. External endometriosis: course of private patient. Ann Surg 1950; 13: 697-720.

  7. Urbach DR, Reedijk M, Richard CS, Lie KI, Ross TM. Bowel resection for intestinal endometriosis. Dis Colon Rectum 1998; 41: 1158-64.

  8. Collin GR, Russell JC. Endometriosis of the colon. Its diagnosis and management. Am Surg 1990; 56: 275-9.

  9. Meyers WC, Kelvin FM, Jones RS. Diagnosis and surgical treatment of colonic endometriosis. Arch Surg 1979; 114: 169-75.

  10. Graham B, Mazier WP. Diagnosis and management of endometriosis of the colon and rectum. Dis Colon Rectum 1988; 31: 952-6.

  11. Fedee L, Bianchi S, Portuese A, Borruto F, Dorta M. Transrectal ultrasonography in the assessment of rectovaginal endometriosis. Obstet Gynecol 1998; 91: 444-8.

  12. Schröder J, Löhnert M, Doniec JM, Dohrmann P. Endoluminal ultrasound diagnosis and operative management of rectal endometriosis. Dis Colon Rectum 1997; 40: 614-7.

  13. Olive DL, Schwartz LB. Endometriosis. N Engl J Med 1993; 328: 1759-69.

  14. Redwine DB. Treatment of endometriosis associated pain. Infertil Reprod Med Clin North Am 1993; 3: 697-721.

  15. Coronado C, Franklin RR, Lotze EC, Bailey HR, Valdes CT. surgical treatment of symptomatic colorectal endometriosis. Fertil Steril 1990; 53: 441-6.

  16. Bailey HR, Ott MT, Hartendorp P. Aggresive surgical management for advanced colorectal endometriosis. Dis Colon Rectum 1994; 37: 747-53






>Journals >Cirujano General >Year 2001, Issue 3
 

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