Endometriosis of rectosigmoid junction presenting as acute large bowel obstruction: A rare presentation

Parmeshwar Bambrule, Ashish Dey, Vinod K. Malik, Vinod Malik, Aakriti Soni
Current Medicine Research and Practice · 2018 · vol. 8(1) , pp. 25–27 · doi:10.1016/j.cmrp.2018.02.001 · W2787446315
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This case report describes a 30-year-old woman who underwent emergency surgery for large bowel obstruction caused by rectosigmoid junction endometriosis, with successful surgical outcomes and no recurrence.

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Abstract

Endometriosis of large bowel leading to intestinal obstruction is very rare and involves mostly the rectum and sigmoid colon. Surgical intervention is required to avoid perforation and associated complications. A 30 year old unmarried woman presented with large bowel obstruction due to stricturing growth at rectosigmoid junction. She had no previous history suggestive of pelvic endometriosis or any previous abdominal surgery. She underwent emergency exploratory laparotomy with Hartman's procedure. The postoperative course was uneventful. On follow up after 2 months, Hartman's reversal was done using circular stapler CDH 33 mm without covering ileostomy. There was no recurrence on follow up of 6 months and patient is completely asymptomatic. Diagnosis of large bowel endometriosis requires a high index of suspicion. Surgical treatment is considered when there is acute or subacute bowel obstruction. Bowel resection for such condition has good surgical outcomes.

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Condition tags

endometriosisbowel_endometriosis

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (54)

Source provenance

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License: CC0 · commercial use OK