One-stage, radical laparoscopic endometriosis excision involving three different organ systems: A case report from tertiary referral center
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This report details a successful one-stage laparoscopic radical excision of extensive deep infiltrating endometriosis involving the paracolpium, parametrium, rectovaginal septum, bladder, interiliac region, ureter, and rectum in a single patient.
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Abstract
Introduction: We present a case of an extensive endometriosis involving left paracolpium and left parametrium, rectovaginal septum, urinary bladder, left interiliac region between artery and vein, left ureter and rectum, presenting as dysmenorrhoea, alternating bouts of diarrhea and constipation and hydronephrosis. Methods: Laparoscopic surgery made by a multidisciplinary team consist of gynecologic, abdominal surgeon and urologist. Results: Successfully managed deep infiltrated endometriosis. Conclusion: The aim of this report is to demonstrate benefit of one-stage, minimally invasive radical surgical procedure performed in a tertiary referral center. To the best of our knowledge, this report presents an extremely complex case because we successfully managed deep infiltrating endometriosis in three different organ systems at the same time, using minimally invasive nerve-sparing technique. A case with the same constellation has not been published yet since reported cases of extrapelvic endometriosis chiefly address one organ system involvement.
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Cites (4)
- Deep endometriosis: definition, diagnosis, and treatment 2012
- Recommendations for the surgical treatment of endometriosis. Part 2: deep endometriosis†‡¶ 2020
- Gastrointestinal and Urinary Tract Endometriosis: A Review on the Commonest Locations of Extrapelvic Endometriosis 2018
- Parametrial Endometriosis: The Occult Condition that Makes the Hard Harder 2018
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References (8)
- Deep endometriosis: definition, diagnosis, and treatment via openalex
- Gastrointestinal and Urinary Tract Endometriosis: A Review on the Commonest Locations of Extrapelvic Endometriosis via openalex
- Parametrial Endometriosis: The Occult Condition that Makes the Hard Harder via openalex
- Recommendations for the surgical treatment of endometriosis. Part 2: deep endometriosis†‡¶ via openalex
- W2773190186 via openalex
- W1984938820 via openalex
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- openalex
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