Intestinal endometriosis--a rare cause of colonic perforation

Neeraj Garg, Neeraj Kumar Garg, Garg NK, Bagul NB, Nitin Babulal Bagul, Nitin Bagul, Sam Doughan, Doughan S, Paul Harold Rowe, P H Rowe, Rowe PH
World journal of gastroenterology · 2009 · vol. 15(5) , pp. 612 · doi:10.3748/wjg.15.612 · PMID:19195065 · PMC2653346 · W2146341413
Case report OA: hybrid CC0 ⤵ 44 in-corpus citations
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This case report highlights intestinal endometriosis as a rare cause of acute abdominal presentation, emphasizing its consideration in the differential diagnosis for women experiencing such symptoms.

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Abstract

Endometriosis is the ectopic growth of viable endometrium outside the uterus, affecting approximately 7% of females. It commonly affects pelvic structures including the bowel. Perforation of the colon by endometriosis is very rare and the patients generally present with an asymptomatic or painful pelvic mass, often in the left iliac fossa. Our patient presented acutely unwell and her symptoms were more suggestive of pyelonephritis or diverticulitis. We therefore report an unusual cause of acute abdomen. The purpose of the following case report is to elucidate certain diagnostic and therapeutic problems of the disease, concerning both surgeons and gynaecologists. In summary, intestinal endometriosis should be considered in the differential diagnosis of all post-menarche women with episodic gastrointestinal symptoms. A past history of endometriosis or co-existent gynaecological symptoms should increase the index of suspicion, and laparoscopy prior to formal laparotomy should be considered. Our patient, in retrospect, had a history of mild endometriosis, but we feel that this case serves as a reminder of a rare, but important, differential diagnosis of acute abdomen in females.

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Condition tags

endometriosis

MeSH descriptors

Colonic Diseases Endometriosis Intestinal Diseases Intestinal Perforation Adult Adult Colonic Diseases Colonic Diseases Colonic Diseases Endometriosis Endometriosis Endometriosis Female Female Humans Humans Intestinal Diseases Intestinal Diseases Intestinal Diseases Intestinal Mucosa

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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Cited by (42)

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