A pseudoneoplastic finding of deep endometriosis: laparoscopic triple segmental bowel resection.

Stefano Cosma, Marcello Ceccaroni, Chiara Benedetto
Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2014 · vol. 9(3) , pp. 463–467 · doi:10.5114/wiitm.2014.41617 · PMID:25337175 · W1976556610
article OA: gold CC0 ⤵ 5 in-corpus citations
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This paper details a laparoscopic triple segmental bowel resection for a 36-year-old woman with symptomatic deep endometriosis involving the recto-sigma, ileum-cecum, and transverse colon, leading to a positive outcome after 48 months.

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Abstract

Bowel endometriosis affects 3-37% of patients with endometriosis, involving more frequently the rectum and the rectosigmoid junction. Severe endometriosis with bowel involvement is often refractory to standard medical therapy. For these reasons, surgery for bowel treatment is frequently needed. We report the case of a 36-year-old woman with deep endometriosis of the pelvis, triple segmental bowel involvement (recto-sigma, ileum-cecum, transverse colon) and massive endometriotic ascites with secondary Glisson's capsule inflammation, refractory to medical therapy. A laparoscopic triple segmental bowel resection and complete fertility sparing excision of pelvic endometriotic lesions was performed. At 48 months of follow-up, the woman was asymptomatic, with no evidence of recurrence of disease or ascites. Laparoscopic segmental bowel resection, including multiple section, is feasible in selected symptomatic patients with consequent improved quality of life, morbidity rates similar to those achieved by laparotomy and with a less detrimental effect on fertility.
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Full-text article available only as a pdf file for download Published online: March 25, 2014 Bowel endometriosis affects 3-37% of patients with endometriosis, involving more frequently the rectum and the rectosigmoid junction. Severe endometriosis with bowel involvement is often refractory to standard medical therapy. For these reasons, surgery for bowel treatment is frequently needed. We report the case of a 36-year-old woman with deep endometriosis of the pelvis, triple segmental bowel involvement (recto-sigma, ileum-cecum, transverse colon) and massive endometriotic ascites with secondary Glisson's capsule inflammation, refractory to medical therapy. A laparoscopic triple segmental bowel resection and complete fertility sparing excision of pelvic endometriotic lesions was performed. At 48 months of follow-up, the woman was asymptomatic, with no evidence of recurrence of disease or ascites. Laparoscopic segmental bowel resection, including multiple section, is feasible in selected symptomatic patients with consequent improved quality of life, morbidity rates similar to those achieved by laparotomy and with a less detrimental effect on fertility. Full-text article available only as a pdf file for download

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Condition tags

endometriosisbowel_endometriosis

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