A laparoscopic approach to small bowel obstruction secondary to endometriosis

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This case report describes a laparoscopic approach for a patient with high-grade small bowel obstruction caused by an endometrioma and reviews associated epidemiology and pathology.

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This paper describes a 44-year-old woman who presented with high-grade small bowel obstruction caused by an endometrioma, and it reviews the associated epidemiology and pathology. The report also describes a laparoscopic approach to managing the obstruction. As a case report, the major limitation is that it provides detailed clinical and procedural description without broader evidence on outcomes or generalizability. This paper is centrally about endometriosis — it focuses on small bowel obstruction secondary to an intestinal endometrioma and its laparoscopic management.

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Abstract

The complications of endometriosis are well recognized and extend beyond the pelvis. Gastrointestinal manifestations of this disease have been well described; however, reports of small bowel obstruction are rare. We describe the case of a 44 year-old-woman who presented with high-grade small bowel obstruction secondary to an endometrioma. We review the epidemiology and pathology associated with this condition and describe a laparoscopic approach to its management.
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Abstract

The complications of endometriosis are well recognized and extend beyond the pelvis. Gastrointestinal manifestations of this disease have been well described; however, reports of small bowel obstruction are rare. We describe the case of a 44 year-old-woman who presented with high-grade small bowel obstruction secondary to an endometrioma. We review the epidemiology and pathology associated with this condition and describe a laparoscopic approach to its management.

References

OB Elliott RM Christensen KA Elliott (1970) ArticleTitleInvasive endometriosis of the intestine: report of 21 cases. Can J Surg 13 387–395 Occurrence Handle1:STN:280:CS6D3c7itlc%3D Occurrence Handle5528226 EL Jenkinson WH Brown (1943) ArticleTitleEndometriosis: a study of 117 cases with special reference to constricting lesions of the rectum and sigmoid colon. JAMA 122 349 KJ Jubanyik F Comite (1997) ArticleTitleExtrapelvic endometriosis. Obstet Gynecol Clin 24 411–440 Occurrence Handle1:STN:280:ByiA3cnkslc%3D TE Keane ALG Peel (1990) ArticleTitleEndometrioma: an intra-abdominal troublemaker. Dis Colon Rectum 33 963–965 Occurrence Handle1:STN:280:By6D3s%2FoslE%3D Occurrence Handle2226084 PW Martimbeau JH Pratt TA Gaffey (1975) ArticleTitleSmall-bowel obstruction secondary to endometriosis. Mayo Clin Proc 50 239–243 Occurrence Handle1:STN:280:CSqC2MvntFU%3D Occurrence Handle1127991 KK Singh AM Lessells DJ Adam C Jordan WFA Miles IMC Macintyre JD Greig (1995) ArticleTitlePresentation of endometriosis to general surgeons: a 10-year experience. Br J Surg 82 1349–1351 Occurrence Handle1:STN:280:BymD1Mjot1U%3D Occurrence Handle7489161 DR Urbach M Reedijk CS Richard KI Lie TM Ross (1998) ArticleTitleBowel resection for intestinal endometriosis. Dis Colon Rectum 41 1158–1164 Occurrence Handle1:STN:280:DyaK1cvhvF2gsg%3D%3D Occurrence Handle9749501 JC Weed JE Ray (1987) ArticleTitleEndometriosis of the bowel. Obstet Gynecol 69 727–730 Occurrence Handle1:STN:280:BiiB3c3ntlI%3D Occurrence Handle3574800

Acknowledgements

We thank Dr. David Urbach, Department of General Surgery, Toronto Western Hospital, for his helpful comments on earlier versions of this manuscript. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Weizman, D., Sullivan, P. A laparoscopic approach to small bowel obstruction secondary to endometriosis . Surg Endosc 17, 1678–1679 (2003). https://doi.org/10.1007/s00464-002-4551-4 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00464-002-4551-4

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Ileal Diseases Ileal Diseases Intestinal Obstruction Intestinal Obstruction Laparoscopy Adult Endometriosis Endometriosis Female Humans Ileal Diseases Intestinal Obstruction Laparoscopy

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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