La endometriosis profunda: un desafío diagnóstico y terapéutico

María Dolores Lara Domínguez, Ramón Guisado Lopez, Ramón Guisado López
In: Progresos de Obstetricia y Ginecología · 2012 · vol. 56(2) , pp. 105–107 · doi:10.1016/j.pog.2012.07.005 · W2000323951
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This case report highlights the diagnostic challenges and aggressive treatment required for deep rectovaginal endometriosis, presenting a patient with severe symptoms and complications following a prior hysterectomy for fibroids.

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Abstract

Resumen Presentamos un caso clinico que pone de manifiesto los desafios que plantea la endometriosis profunda del tabique rectovaginal. Se trata de una paciente intervenida en nuestro servicio de histerectomia total en mayo de 2011 por utero miomatoso sintomatico, sin hallazgos clinicos ni anatomopatologicos de endometriosis. La paciente continua con dolor pelvico invalidante, disquecia y sintomas urinarios hasta febrero de 2012, momento en el que comienza con obstruccion ureteral, hidronefrosis bilateral y pseudoobstruccion intestinal, que obliga a realizar una cirugia radical de una tumoracion fibrosa pelvica, fija a recto y que comprime ambos ureteres. Resultado histologico: endometriosis. Resaltamos las dificultades diagnosticas que presenta y el tratamiento agresivo que requiere.

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Condition tags

endometriosis

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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