Rectosigmoid endometriosis causing an acute large bowel obstruction: a report of a case and a review of the literature

R K Gupta, Gupta Rk, Agrawal CS, C S Agrawal, R P Yadav, Yadav RP, D Uprety, Uprety D, P L Sah, Sah PL
JNMA; journal of the Nepal Medical Association · 2011 · vol. 51(182) , pp. 83–6 · doi:10.31729/jnma.249 · PMID:22916518
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This case report and literature review describe a 30-year-old woman with rectosigmoid endometriosis causing acute large bowel obstruction, highlighting the diagnostic challenge of distinguishing this condition from malignancy.

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This case report and literature review describes a 30-year-old woman who presented with acute large bowel obstruction due to rectosigmoid endometriosis. The authors highlight that intestinal involvement by endometriosis is uncommon and difficult to distinguish from colorectal malignancy using standard colonoscopic and radiologic findings prior to surgical intervention. Emergency surgery was required to relieve the obstruction and confirm the diagnosis, which was successfully treated in this instance. This paper is centrally about endometriosis — specifically deep infiltrating endometriosis affecting the rectosigmoid colon and causing mechanical bowel obstruction.

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Abstract

Endometriosis is often seen in gynecology practice and is treated medically. However, intestinal involvement of endometriosis causing acute large bowel obstruction is uncommon and is difficult to differentiate from malignancy before surgery, owing to its similar colonoscopic and radiologic findings. We report a successfully-treated case of a 30-year-old woman in which endometrial infiltration of the large bowel caused acute obstruction, requiring emergency surgery to relieve the symptom and confirm the diagnosis. We present this unusual disease in general surgical practice and also review the literature.
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Rectosigmoid Endometriosis Causing an Acute Large Bowel Obstruction: A Report of a Case and a Review of the Literature DOI: https://doi.org/10.31729/jnma.249Abstract Endometriosis is often seen in gynecology practice and is treated medically. However, intestinal involvement of endometriosis causing acute large bowel obstruction is uncommon and is dif cult to differentiate from malignancy before surgery, owing to its similar colonoscopic and radiologic ndings. We report a successfully-treated case of a 30-year-old woman in which endometrial in ltration of the large bowel caused acute obstruction, requiring emergency surgery to relieve the symptom and conrm the diagnosis. We present this unusual disease in general surgical practice and also review the literature. Keywords: colorectal malignancy, endometriosis, intestinal obstruction Downloads Published How to Cite Issue Section License JNMA allow to read, download, copy, distribute, print, search, or link to the full texts of its articles and allow readers to use them for any other lawful purpose. The author(s) are allowed to retain publishing rights without restrictions. The JNMA work is licensed under a Creative Commons Attribution 4.0 International License. More about Copyright Policy.

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Condition tags

endometriosis

MeSH descriptors

Colonic Diseases Endometriosis Intestinal Obstruction Rectal Diseases Adult Adult Colonic Diseases Colonic Diseases Colonic Diseases Dilatation, Pathologic Dilatation, Pathologic Endometriosis Endometriosis Endometriosis Endometriosis Female Female Humans Humans Intestinal Obstruction

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