ABDOME AGUDO OBSTRUTIVO POR ENDOMETRIOSE PROFUNDA NO SIGMOIDE

João Ricardo Carvalho de Matos, Rafael Efraim Nobre, Carlos Roberto Amorim, Laís Prudente de Andrade, E. M. de Miranda, Fiorita Gonzáles Lopes Mundim, Nícolas Biagione Tiburzio, Virgínio Cândido de Souza
In: Journal of Coloproctology · 2023 · vol. 43(S 01) , pp. S1–S270 · doi:10.1055/s-0044-1780907 · W4392668516
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This case report describes a 29-year-old female patient who presented with obstructive acute abdomen due to deep endometriosis infiltrating the rectosigmoid, requiring surgical resection and anastomosis.

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Abstract

Apresentação do Caso Clínico Relatamos o caos da paciente BCF, de 29 anos, do sexo feminino, que deu entrada no pronto-socorro em 3 de junho de 2023, com parada de eliminação de flatos e fezes havia cerca de 4 dias, associada a dor abdominal refratária a medicação endovenosa. Ela se encontrava em acompanhamento com o Serviço de Ginecologia devido a diagnóstico prévio de endometriose, e tinha uma RNM de pelve feita em 30 de maio de 2023, que evidenciou lesão de aspecto fibroproliferativo de características endometrióticas na região retrocervical, que media cerca de 2,4 cm no seu maior eixo, e estrias com extensão até parede anterior do reto, acometendo a sua camada muscular própria a 11,1 cm da borda anal. Extensão longitudinal intestinal de 4,3cm e circunferencial de 180º, e determinava a retração do fórnice vaginal posterior. Apesar do tratamento clínico instituído, não apresentou melhora do quadro de abdome agudo obstrutivo. A paciente foi submetida a cirurgia de laparotomia exploradora em 5 de junho de 2023, e realizou-se uma retossigmoidectomia com anastomose colorretal, látero-terminal grampeada. O AP evideniou: 1) retossigmoide – endometriose externa da parede do intestino grosso. Foram isolados oito linfonodos com endometriose externa; e 2) endometrioma de ovário direito.
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endometrioma

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