Differed surgery in patient with colorectal endometriosis and pregnancy intention: Is it reasonable?

Touleimat S, Salma Touleimat, S Touleimat, E. Huet, Huet E, Sanguin S, S. Sanguin, H. Roman, Horace Roman, Roman H
Journal of gynecology obstetrics and human reproduction · 2017 · vol. 47(1) , pp. 29–31 · doi:10.1016/j.jogoh.2017.10.006 · PMID:29107715 · W2766323656
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This paper investigates whether delayed surgery for colorectal endometriosis is a reasonable approach for patients desiring pregnancy.

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Abstract

The management of patients presenting deep infiltrating endometriosis involving the rectum (DIER) and pregnancy intention is controversial. Assisted Reproduction Techniques (ART) are often proposed first, but this may lead to complications and further difficulties managing DIER. A 29-years-old woman was diagnosed with pre-occlusive DIER. However, she was offered in vitro fertilization (IVF) and underwent six unsuccessful cycles with serious complications: an ectopic pregnancy and a hemoperitoneum following arterial injury during oocyte retrieval, requiring two laparotomies in emergency. The patient's symptoms worsened over time and colorectal resection with diverting colostomy was performed. The patient's quality of life was then improved. In our opinion, prior ART in patients presenting DIER delays surgery and may have harmful complications. Therefore, primary surgery followed by ART may be a valuable option in some cases and should be discussed with the patients.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Fertilization in Vitro Rectal Diseases Adult Colostomy Endometriosis Female Fertilization in Vitro Humans Rectal 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 (9)

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