Spontaneous Sigmoid Colon Rupture Secondary to Endometriosis in the Third Trimester of Pregnancy

In: Journal of Gynecologic Surgery · 2018 · vol. 34(1) , pp. 40–42 · doi:10.1089/gyn.2017.0061 · W2782246806
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A pregnant woman developed an acute abdomen and fetal distress due to spontaneous sigmoid colon rupture, identified during cesarean section as secondary to endometriosis.

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Abstract

Background: Endometriosis is a common benign gynecologic condition. When it occurs during pregnancy, the symptoms typically lessen. Endometriosis-associated, spontaneous sigmoid-colon rupture in pregnancy is extremely rare and requires a surgical solution. Case: A woman 30½ weeks pregnant developed an acute abdomen and fetal distress. During a cesarean section, a ruptured sigmoid colon was discovered and a colostomy was placed. Results: Postoperatively, this patient developed exudative bilateral pleural effusions that required thoracentesis. Conclusions: Endometriosis is a rare cause of sigmoid-colon perforation in pregnancy and can occur even when there is no history of endometriosis. (J GYNECOL SURG 34:40)

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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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