Intestinal occlusion caused by endometriosis of the sigmoid colon.

Conzo G, Giovanni Conzo, Giovanni Docimo, Docimo G, Candela G, G Candela, Giancarlo Candela, Antonietta Palazzo, A Palazzo, Palazzo A, Cristina Della Pietra, Della Pietra C, Claudio Mauriello, Mauriello C, Luigi Santini, Santini L
Annali italiani di chirurgia · 2012 · vol. 83(4) , pp. 353–6 · PMID:22610080 · W2289852241
article OA: closed CC0 ⤵ 3 in-corpus citations
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This paper reports a rare case of sigmoid colon obstruction due to endometriosis and discusses its pathophysiology, diagnosis, and multidisciplinary surgical management.

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Abstract

Endometriosis (E) is an estrogen-dependent inflammatory disorder that is observed in approximately 10% of women in childbearing age, and is the most common benign gynecological disorder requiring hospitalization. In 5% of cases, there is an involvement of the gastrointestinal tract, for the most part of the sigmoid colon and rectum (~ 90%). However intestinal obstruction due to severe stenosis of the sigmoid colon, as in the case described by the authors, is rare. The differential diagnosis should include cancer, inflammatory diseases and actinic colitis which has a similar clinical picture to E. Surgical treatment - resection and anastomosis or conservative procedures - provides better results especially when a multidisciplinary approach is used (colorectal surgeon, gynecologist, urologist). The authors report a case of obstruction of the sigmoid colon due to endometriosis and analyze the pathophysiology, diagnosis and surgical management of this disorder.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Intestinal Obstruction Sigmoid Diseases Adult Endometriosis Female Humans Intestinal Obstruction Sigmoid Diseases

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.

References (15)

Cited by (3)

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License: CC0 · commercial use OK