Perforation of the Sigmoid Colon During Pregnancy: A Rare Complication of Endometriosis
Case report
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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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References (11)
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- Pelvic endometriosis simulating colonic malignant neoplasm via openalex
- Perforation of the appendix during pregnancy: a rare complication of endometriosis. Case report via openalex
- Perforation of the sigmoid colon during pregnancy: a rare complication of endometriosis. Case report via openalex
- Postpartum perforation of the colon due to endometriosis via openalex
- Pregnancy complicated by ruptured endometrioma via openalex
- The effect of pregnancy upon endometriosis via openalex
- Treatment of bowel endometriosis: a report of six cases of colorectal endometriosis and a survey of the literature via openalex
- Ungewöhnliche Komplikation der Schwangerschaft infolge endometrioider Heterotopien am Dünndarm via openalex
- W1991067566 via openalex
Cited by (8)
- Spontaneous Sigmoid Colon Rupture Secondary to Endometriosis in the Third Trimester of Pregnancy 2018
- Obstetrical complications of endometriosis, particularly deep endometriosis 2017
- Puerperal ileal perforation secondary to endometriosis: Case report and literature review 2016
- Spontaneous haemoperitoneum in pregnancy and endometriosis: a case series 2016
- A systematic review on endometriosis during pregnancy: diagnosis, misdiagnosis, complications and outcomes 2015
- Deep endometriosis induced spontaneous colon rectal perforation in pregnancy: laparoscopy is advanced tool to confirm diagnosis 2014
- Pregnancy Complications Associated with Endometriosis 2014
- Ileal perforation and massive intestinal haemorrhage from endometriosis in pregnancy: case report and literature review 2013
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- last seen: 2026-10-14T06:23:58.021457+00:00
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