A Rare Case of Acute Mechanical Intestinal Obstruction: Colonic Endometriosis

Buldanlı, Mehmet Zeki; Özemir, İbrahim Ali; Yener, Oktay; Dölek, Yasemin

doi:10.5505/tjtes.2018.62705

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…Sintomas recorrentes são a marca registrada desta doença 7 . A endometriose do intestino grosso distal é causa frequente de obstrução intestinal, variando de 30-37% de todos os casos com envolvimento intestinal 8 . A incidência de ressecção intestinal por obstrução intestinal é de 0,7% para endometriose abdominopélvica.…”

Section: Discussionunclassified

Suboclusão Intestinal Por Endometriose

OLIVEIRA-JUNIOR

OKAMOTO

RIBAS

et al. 2022

RMP

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Section: Discussionunclassified

Suboclusão Intestinal Por Endometriose

OLIVEIRA-JUNIOR

OKAMOTO

RIBAS

et al. 2022

RMP

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“…The mean age of patients diagnosed with LBO due to sigmoid colon endometriosis (14 patients) [28,32,33,36,[98][99][100][101][102][103][104][105][106][107] was 43, with a minimum of 31 and a maximum of 78. In the majority of cases, the initial treatment consisted of an emergency surgery (12 patients) with the exception of two cases where a therapeutic colonoscopy was first attempted.…”

Section: Sigmoid Colon Obstructionmentioning

confidence: 99%

Endometriosis as an Uncommon Cause of Intestinal Obstruction—A Comprehensive Literature Review

Mușat,

Păduraru,

Bolocan

et al. 2023

JCM

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The prevalence of intestinal endometriosis has been estimated to be between 3% and 37% of all endometriosis cases. Cases of intestinal occlusion due to endometriosis foci on the small bowel and on the large bowel are even rarer, with a reported prevalence of 0.1–0.7%. The aim of this literature review was to summarize the available published evidence on the diagnosis, characteristics, and management of intestinal occlusion due to endometriosis. The search on PubMed retrieved 295 records, of which 158 were rejected following a review of the title and abstract. After reviewing the full text, 97 studies met the Population, Intervention, Comparator, Outcomes, and Study (PICOS) criteria and were included in the analysis. The total number of patients with bowel occlusion due to endometriosis included in the studies was 107. The occlusive endometrial foci were localized on the ileum in 38.3% of the cases, on the rectosigmoid in 34.5% of the cases, at the ileocecal junction and the appendix in 14.9% of the cases, and at the rectum in 10.2% of the cases. Only one case reported large bowel obstruction by endometriosis of the hepatic flexure of the colon extending to the transverse colon (0.9%), and in one case the obstruction was caused by an omental giant endometrioid cyst compressing the intestines. We identified six cases of postmenopausal females with acute bowel obstruction due to endometriosis. Malignant degeneration of endometriosis was also identified as a cause of intestinal occlusion. The mechanisms of obstruction include the presence of a mass in the lumen of the intestine or in the wall of the intestine, extrinsic compression, adhesions, or intussusception.

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A Case of Rectal Endometriosis Misdiagnosed as Rectal Malignancy on Three Colonoscopies and Biopsies Sharing a Combined Literature Review

Liang,

Mei,

Ning

et al. 2024

IJWH

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Background Endometriosis involves the intestine, and its clinical manifestations are nonspecific and lack of etiological manifestations. The diagnosis is difficult, which often leads to misdiagnosis. We report a case of endometriosis which was misdiagnosed as intestinal malignant tumor after colonoscopy and three biopsies. Case Presentation We reported a 42-year-old woman who went to see a doctor because of anal distension. She was examined by three gastrointestinal endoscopists at different levels in different hospitals and underwent biopsy at the same time. Combined with clinical manifestations, imaging examination, endoscopic examination and pathological examination, she was misdiagnosed as intestinal malignant tumor, and partial intestinal resection was performed according to the surgical principle of malignant tumor. Conclusion Although there are advanced gastrointestinal endoscopy and imaging techniques, intestinal endometriosis is still easy to be misdiagnosed. As our case report shows, after three colonoscopy and biopsy, it is still misdiagnosed as intestinal malignant tumor. Further research is needed to improve the ability of preoperative diagnosis, which deserves the attention of gastroenterologists and obstetricians and gynecologists.

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A Rare Case of Acute Mechanical Intestinal Obstruction: Colonic Endometriosis

Cited by 4 publications

References 13 publications

Suboclusão Intestinal Por Endometriose

Suboclusão Intestinal Por Endometriose

Endometriosis as an Uncommon Cause of Intestinal Obstruction—A Comprehensive Literature Review

A Case of Rectal Endometriosis Misdiagnosed as Rectal Malignancy on Three Colonoscopies and Biopsies Sharing a Combined Literature Review

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