Endometriose intestinal: uma doença benigna?

Bassi, Marco; Podgaec, Sérgio; Júnior, João Antônio Dias Dias; Sobrado, Carlos Walter; Filho, Nicolau D’Amico; Abrão, Maurício Simões

doi:10.1590/s0104-42302009000500029

Cited by 27 publications

(12 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The strictures and masses arise from a reactive smooth muscle hypertrophy secondary to disease present in the muscularis propria [3]. Rare cases of small and large bowel intussception, bowel perforation and malignant transformation have also been reported [11,13,14]. …”

Section: Discussionmentioning

confidence: 99%

Acute small bowel obstruction secondary to intestinal endometriosis, an elusive condition: a case report

et al. 2010

View full text Add to dashboard Cite

BackgroundEndometriosis is a benign condition affecting females of reproductive age. Although intestinal endometriosis is common it is rare for the condition to manifest as an acute bowel obstruction secondary to ileocaecal and appendicular endometriosis. This case is important to report as it highlights the diagnostic difficulty this particular condition presents to an emergency surgeon.Case presentationWe present the case of a 33 year old female of Asian origin who presented with symptoms and signs of an acute small bowel obstruction. A right hemicolectomy for suspected malignancy was performed with an ileocolic anastomosis. Histological examination demonstrated extensive endometriosis of the appendix and ileocaecal junction.ConclusionEnteric endometriosis should be considered as a differential diagnosis when assessing females of reproductive age with acute small bowel obstruction. A high index of suspicion is required to arrive at a diagnosis of this elusive condition.

show abstract

Section: Discussionmentioning

confidence: 99%

Acute small bowel obstruction secondary to intestinal endometriosis, an elusive condition: a case report

et al. 2010

View full text Add to dashboard Cite

show abstract

“…The ovary is the site of 80 % of all endometriosis cases. Abdominal endometriosis accounts for 5.3 to 12 % of endometriosis [ 3 ]. Intestinal endometriosis mainly occurs in the sigmoid colon and rectum, and these two sites account for 77 % of abdominal endometriosis [ 1 ].…”

Section: Case Presentationmentioning

confidence: 99%

A case of small intestinal endometrioid adenocarcinoma

et al. 2016

View full text Add to dashboard Cite

Endometriosis generally occurs in the ovary. Intestinal endometriosis is rare. About 1 % of all endometriosis cases become malignant. Malignant transformation of small intestinal endometriosis is very rare. A 55-year-old woman who underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy and omentectomy for endometriosis 7 years ago presented to her primary care doctor with melena. A tumor was detected in the right lower abdomen by ultrasonography. The doctor referred her to our hospital. Computed tomography demonstrated a lobulated tumor ventral to the right common iliac vessels. Magnetic resonance imaging demonstrated that the tumor had heterogeneous intensity on T2-weighted images. Several small cysts with high intensity were observed caudal to the tumor on T2-weighted images. We performed partial small intestinal resection for the lesion. The tumor was diagnosed as endometrioid adenocarcinoma of the small intestine. She has been relapse-free for 5 years after surgery. Only three cases of malignant transformation of small intestinal endometriosis have been reported previously. It is very rare for long-term survival to be obtained with surgery alone, as in our case. This case report highlights the imaging findings for malignant transformation of intestinal endometriosis.

show abstract

“…Devido ao comportamento variável da doença, pelas dúvidas quanto à etiopatogenia, ao diagnóstico e tratamento, sua classificação se tornou importante para universalizar o entendimento dessa entidade clínica 5 .…”

Section: Introductionunclassified