Intestinal Endometriosis Masquerading as Common Digestive Disorders
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Nine patients with intestinal endometriosis, presenting with varied digestive symptoms like pain, hematochezia, and obstruction, required laparotomy due to elusive diagnoses and nonspecific symptoms.
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Abstract
Intestinal endometriosis mimics a wide variety of inflammatory, infectious, or neoplastic digestive diseases. To alert clinicians to its diverse manifestations, we describe nine patients who required laparotomy. The underlying diagnosis was elusive initially. In no case were symptoms clearly cyclic or temporally related to phases of the menstrual cycle. Presenting complaints included acute or subacute lower abdominal pain (three patients), hematochezia (two patients), signs or symptoms of small-bowel obstruction (two patients), peritonitis (one patient), and a partially obstructing sigmoid lesion (one patient). The findings of barium enema were nondiagnostic in the five cases in which it was performed. Surgery was needed in each case; indications included inability to exclude carcinoma (two patients), small-bowel obstruction (two patients), diffuse peritonitis (one patient), persistent colonic obstruction (one patient), pericolonic abscess (one patient), and intractable pain (one patient). Intestinal endometriosis has a diverse clinical spectrum, with nonspecific features in many patients. This disease should be considered during the evaluation of unexplained digestive complaints in women of childbearing years.
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Cited by (31)
- Endometriosis as an Uncommon Cause of Intestinal Obstruction-A Comprehensive Literature Review 2023
- Stricturing ileocaecal endometriosis: a rare concurrent aetiology in a patient with Crohn's disease 2023
- Endometriosis 2021
- Difficult diagnosis in gastrointestinal endometriotic lesions with ileal localization 2020
- Gastrointestinal and Urinary Tract Endometriosis: A Review on the Commonest Locations of Extrapelvic Endometriosis 2018
- Endometriosis 2016
- Strong Association Between Endometriosis and Symptomatic Leiomyomas 2016
- Endometriosis masquerading as Crohn's disease in a patient with acute small bowel obstruction 2015
- Intestinal Endometriosis 2013
- Endometriosis 2012
- Rectal endometriosis with invasion into lymph nodes 2011
- Three cases of endometriosis of the urinary tract 2010
- ENDOMETRIOSIS WITH INTESTINAL IMPLANTS MIMICKING RECTAL CANCER 2009
- [Rectal endometriosis: entity difficult to diagnose.]. 2008
- Crohn’s disease complicated by multiple stenoses and internal fistulas clinically mimicking small bowel endometriosis 2008
- Perforación ileal secundaria a endometriosis 2007
- Endometriosis 2007
- Experimental Endometriosis in the Rat Is Correlated With Colonic Motor Function Alterations but Not With Bacterial Load 2007
- Traitement cœlioscopique de l'endométriose profonde. À propos de 118 cas 2006
- Role of EUS and EUS-guided FNA in the diagnosis of symptomatic rectosigmoid endometriosis 2006
- Péritonite par perforation sigmoïdienne sur endométriose 2005
- Endometriosis-induced acute small and large bowel obstruction: rare clinical entities. 2005
- Bridging the Gap between Medical Science and Communication: An Interpretive Analysis of Messages Portrayed on Endometriosis Websites. 2004
- REVIEW: Evidence for asymmetric distribution of lower intestinal tract endometriosis 2004
- Diagnosis and treatment of endometriosis 2003
- Endometriosis of the Intestinal Tract 2001
- CASE REPORT: Rectal Passage of Intestinal Endometriosis 2001
- Endometriosis ileal. A propósito de un caso 2001
- EXTRAPELVIC ENDOMETRIOSIS 1997
- Ileal Endometriosis Masquerading as Crohn's Ileitis 1997
- Acute abdomen due to endometriosis as a diagnostic and therapeutic challenge in the treatment of acute myelocytic leukemia 1997
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