Perforation of the Sigmoid Colon During Pregnancy: A Rare Complication of Endometriosis

Giuseppe Loverro, Gennaro Cormio, Pantaleo Greco, Donato F. Altomare, G Putignano, Luigi Selvaggi
In: Journal of Gynecologic Surgery · 1999 · vol. 15(3) , pp. 155–157 · doi:10.1089/gyn.1999.15.155 · W2053135381
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

A case report describes sigmoid colon perforation during pregnancy caused by endometriosis, characterized by significant decidualization of the endometriotic tissue within the bowel wall.

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Abstract

Perforation of the sigmoid colon in a 28-year-old woman during the 35th week of pregnancy is reported. The patient was admitted for crampy lower abdominal pain, and fetal distress observed on cardiotocography led to the decision of an emergency cesarean section. At laparotomy the sigmoid colon was found to be covered by a green, fibropurulent exudate, and a small area of perforation was found. At pathologic examination there was almost complete replacement of the bowel wall by endometriotic tissue, showing extensive decidualization of its stroma. Although obviously rare, perforation of the sigmoid colon due to endometriosis should be considered in the differential diagnosis of an acute condition of the abdomen during pregnancy. (J GYNECOL SURG 15:155, 1999)

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endometriosis

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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.

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