>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)
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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.
||Colon, uterus, colon obstruction, endometriosis, hysterectomy.
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>Year 2001, Issue 3