Pelviperitonitis by colorectal perforation in the third trimester of pregnancy after surgery for deep pelvic endometriosis

Laurent Boileau, Boileau L, Frédéric Borie, F. Borie, Borie F, Laporte S, Sylvain Laporte, Tailland ML, Marie-Laure Tailland, Pierre Mares, P. Marès, Mares P, Renaud de Tayrac, de Tayrac R
Fertility and sterility · 2011 · vol. 96(1) , pp. e42–e44 · doi:10.1016/j.fertnstert.2011.04.076 · PMID:21575946 · W2101138411
article OA: bronze CC0 ⤵ 7 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes a pregnant patient in her third trimester who developed severe pelvic peritonitis due to colorectal perforation following surgery for deep pelvic endometriosis.

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Abstract

ObjectiveTo report a severe complication after colorectal resection for rectovaginal endometriosis.DesignCase report.SettingUniversity hospital.Patient(s)A 37-year-old patient treated with colorectal resection 3 years ago for rectovaginal endometriosis was admitted with a rectal perforation at 37 weeks' gestation.Intervention(s)Caesarean section and simple interrupted stitch of the perforation by absorbable Vicryl.Main outcome measure(s)Determination of the cause of the perforation in healthy rectal tissue above the anastomosis.Result(s)The most likely mechanism was secondary colonic hyperpressure owing to stenosis of the colorectal anastomosis.Conclusion(s)Young patients planning to conceive but scheduled to undergo colorectal resection should be made aware of the significant complication rate associated with this procedure and the promising results of nodule excisions. We recommend close monitoring of patients suffering from chronic constipation after resection for rectosigmoid endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Colorectal Surgery Endometriosis Intestinal Perforation Peritonitis Postoperative Complications Pregnancy Trimester, Third Adult Colorectal Surgery Endometriosis Endometriosis Female Humans Intestinal Perforation Intestinal Perforation Pelvis Pelvis Peritonitis Peritonitis Postoperative Complications Postoperative Complications

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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.

References (13)

Cited by (7)

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