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
Case report 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 (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 (7)

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