Extragenital endometriosis with lesions of the small and large intestine, the formation of a pathological cavity draining to the anterior abdominal wall (case report)

И. В. Назаров, T. Khabibullakh, I.V. Barinova, D. M. Bеlоv
In: Koloproktologia · 2021 · vol. 20(1) , pp. 46–52 · doi:10.33878/2073-7556-2021-20-1-46-52 · W3138477246
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report details the treatment of a patient with deep infiltrative endometriosis affecting the small and large intestines, complicated by an abdominocutaneous endometriotic fistula.

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This paper reports a clinical case of a patient with long-standing, deep infiltrating extragenital endometriosis involving both the small and large intestine, with development of a pathological cavity that drained to the anterior abdominal wall after multiple prior surgeries. The authors describe the treatment course in a multidisciplinary context, focusing on the management of severe complications arising from the intestinal endometriotic disease. A key limitation is that, as a single case report, it provides limited generalizability beyond the described patient’s clinical history. This paper is centrally about endometriosis — it presents extragenital intestinal endometriosis complicated by a draining pathological cavity to the anterior abdominal wall.

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Abstract

Extragenital endometriosis is one of the most severe benign diseases of the female reproductive system, characterized by different site of target organs. This pathology is associated with the development of severe complications, the treatment of which requires a multidisciplinary approach. This case report is dedicated to the experience of treating a patient with a history of multiple surgical procedures and long-term undiagnosed deep infiltrative endometriosis, complicated by abdominocutaneus endometriotic fistula.
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Экстрагенитальный эндометриоз с поражением тонкой и толстой кишки, формированием патологической полости, дренирующейся на переднюю брюшную стенку (клинический случай) https://doi.org/10.33878/2073-7556-2021-20-1-46-52 Аннотация Эстрагенитальный эндометриоз – одно из наиболее тяжело протекающих заболеваний женской репродуктивной системы, характеризующееся различной локализацией органов-мишеней. Данная патология сопряжена с развитием тяжелых осложнений, лечение которых требует междисциплинарного подхода. Представленный клинический случай посвящен лечению пациентки с неоднократными оперативными вмешательствами в анамнезе и длительно недиагностированным глубоким инфильтративным эндометриозом, осложнившимся формированием патологической полости, дренирующейся на переднюю брюшную стенку. Об авторах И. В. НазаровРоссия Назаров Илья Владимирович – кандидат медицинских наук, научный сотрудник отдела онкологии и хирургии ободочной кишки ул. Саляма Адиля, д. 2, г. Москва, 123423 Т. Хабибуллах Хабибуллах Тамана ул. Покровка, д. 22А, г. Москва, 101000 И. В. Баринова Баринова Ирина Владимировна – доктор медицинских наук, руководитель патологоанатомического отделения ул. Покровка, д. 22А, г. Москва, 101000 Д. М. Белов Научный сотрудник отделения рентгенодиагностики ул. Саляма Адиля, д. 2, г. Москва, 123423 Список литературы 1. Краснопольский В.И., Буянова С.Н., Щукина Н.А. и соавт.: Оперативная гинекология, 3-е изд. М.: МЕДпресс-информ, 2017; 320 с.: ил. 2. Краснопольский В.И., Буянова С.Н. Генитальные свищи. М.: МЕДпресс, 2001; 192 с. 3. Dragounis K, Mikos T, Zafrakas M. et al. Endometriotic uterocutaneous fistula after cesarean section (a case report). Gynecol Obstet Invest. 2004;57(2):90-92. DOI: 10.1159/000075384 4. Gupta SK, Shukla VK, Varma DN. et al. Uterocutaneous fistula. Postgrad Med J. 1993;69:822-823. DOI: 10.1136/pgmj.69.816.822 5. Grimaldo AJ, Herrera AA, Garcia TA. Perforation of the large intestine caused by a type 7 medicated copper IUD. Ginecol Obstet Mex. 1993;61:235-237. 6. Taff L, Jones S. Cesarean scar endometriosis: A report of two cases. J Reprod Med. 2002;47:50-52. 7. Pathan SK, Kapila K, Haji BE. et al. Cytomorphological spectrum in scar endometriosis: A study of eight cases. Cytopathology. 2005;16:94-9. DOI: 10.1111/j.1365-2303.2004.00218.x 8. Roncoroni L, Costi R, Violi V. et al. Endometriosis on laparotomy scar. A threecase report. Arch Gynecol Obstet. 2001;265:165-167. DOI: 10.1007/s004040000153 9. Zondervan KT, Becker CM, Koga K. et al. Endometriosis. Nat Rev Dis Primers. 2018;4:9. DOI: 10.1038/s41572-018-0008-5 10. Gallagher JS, DiVasta AD, Vitonis AF. et al. The impact of endometriosis on quality of life in adolescents. J Adolesc Health. 2018;63:766-72. DOI: 10.1016/j.jadohealth.2018.06.027 11. Nnoaham KE, Hummelshoj L, Webster P. et al. Impact of endometriosis on quality of life and work productivity: a multicenter study across ten countries. Fertil Steril. 2011;96(2):366.e8-373.e8. DOI: 10.1016/j.fertnstert.2011.05.090 12. Rush G, Misajon R, Hunter JA. et al. The relationship between endometriosis-related pelvic pain and symptom frequency, and subjective wellbeing. Health Qual Life Outcomes. 2019;17:123. DOI: 10.1186/s12955-019-1185-y 13. Leonardi M, Martin E, Reid S. et al. Deep endometriosis transvag inal ultrasound in the workup of patients with signs and symptoms of endometriosis: a cost analysis. BJOG. 2019;126:1499-1506. DOI: 10.1111/1471-0528.15917 14. Coronado C, Franklin RR, Lotze EC. et al. Surgical treatment of symptomatic colorectal endometriosis. Fertil Steril. 1990;53:411-6. DOI: 10.1016/s0015-0282(16)53332-9 15. Bailey HR, Ott MT, Hartendorp P. Aggressive surgical management for advanced colorectal endometriosis. Dis Colon Rectum. 1994;37:747-53. DOI: 10.1007/BF02050136 16. De Cicco C, Corona R, Schonman R, et al. Bowel resection for deep endometriosis: a systematic review. BJOG. 2011;118(3):285-91. DOI: 10.1111/j.1471-0528.2010.02744.x 17. Purvis RS, Tyring SK. Cutaneous and subcutaneous endometriosis: Surgical and hormonal therapy. J Dermatol Surg Oncol. 1994;20:693-695. DOI: 10.1111/j.1524-4725.1994.tb00456.x 18. Chattot C, Aristizabal P, Bendifallah, et al. Utero-abdominal wall fistula after cesarean section in patient with prior colorectal resection for endometriosis: case report and systematic review. The Journal of Minimally Invasive Gynecology. 2017;24(7):1234-1238. DOI: 10.1016/j.jmig.2017.05.013 19. Thubert T, Denoiseux C, Faivre E, et al. Combined Conservative Surgical and Medical Treatment of a Uterocutaneous Fistula. The Journal of Minimally Invasive Gynecology. 2012;19(2):244-7. DOI: 10.1016/j.jmig.2011.10.010 20. Juneja SK, Tandon P, Chopra I. Successful pregnancy after excision of cesarean scar endometriosis with uterovesicocutaneous fistula: A rare case report. International Journal of Applied and Basic Medical Research. 2016; v. 6, Issue 4. DOI: 10.4103/2229-516X.192586 Рецензия Для цитирования: Назаров И.В., Хабибуллах Т., Баринова И.В., Белов Д.М. Экстрагенитальный эндометриоз с поражением тонкой и толстой кишки, формированием патологической полости, дренирующейся на переднюю брюшную стенку (клинический случай). Колопроктология. 2021;20(1):46-52. https://doi.org/10.33878/2073-7556-2021-20-1-46-52 For citation: Nazarov I.V., Khabibullakh T., Barinova I.V., Belov D.M. Extragenital endometriosis with lesions of the small and large intestine, the formation of a pathological cavity draining to the anterior abdominal wall (case report). Koloproktologia. 2021;20(1):46-52. (In Russ.) https://doi.org/10.33878/2073-7556-2021-20-1-46-52 JATS XML

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