Rectosigmoid Perforation and Sepsis from Endometriosis in Early Pregnancy

Eric S. Chang, Bruce G. Bateman, Traci L. Hedrick, Susan C. Modesitt
In: Surgical Infections Case Reports · 2016 · vol. 1(1) , pp. 32–34 · doi:10.1089/crsi.2016.0005 · W2403898728
article OA: hybrid CC0 ⤵ 1 in-corpus citation
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This case report details the diagnosis and management of rectosigmoid perforation and sepsis due to endometriosis in a pregnant patient, highlighting the need for surgical intervention to save the mother's life.

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Abstract

Background: We report diagnosis and management of complicated intra-abdominal infection secondary to rectosigmoid perforation from endometriosis in early pregnancy. Case Presentation: A 30-year-old primigravid Caucasian female with abdominal pain at 15 wks gestation was found to have a massive intra-abdominal infection on laparoscopy. Initial conservative management in light of a highly desired pregnancy failed, and she required bowel diversion because of rectosigmoid perforation at a site of deep endometriosis. Post-operative course was complicated by loss of the pregnancy and multiple percutaneous drainage procedures. Conclusion: Bowel perforation as cause of acute abdomen in the setting of endometriosis should be considered in early pregnancy. With a pre-viable fetus, all measures must be taken to save the mother and definitive treatment may require bowel diversion or resection.

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Condition tags

endometriosis

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.

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last seen: 2026-06-10T17:14:06.276822+00:00
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