Intestinal obstruction secondary to cecal endometriosis

Imasogie, DE; Agbonrofo, PI; Momoh, MI; Obaseki, DE; Obahiagbon, Ikponmwosa; Azeke, AT

doi:10.4103/njcp.njcp_29_18

Cited by 6 publications

(3 citation statements)

References 18 publications

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“…The mean age of patients diagnosed with ileocecal occlusions (15 cases) [74][75][76][77][78][79][80][81][82][83][84][85][86][87][88] was 37.86, with a minimum of 32 and a maximum of 46. Ileocecal occlusions were initially managed conservatively in four instances, two of which were followed by two laparoscopic procedures.…”

Section: Ileocecal 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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Section: Ileocecal 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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“…Si bien estos métodos diagnósticos son los de elección, la endometriosis solo se puede confirmar mediante una biopsia de tejido (1). Por lo tanto, el gold standard para diagnosticar endometriosis continúa siendo la visualización directa mediante laparoscopía con toma de biopsias para confirmación histológica (2).…”

Section: Revisión Bibliográficaunclassified

“…La endometriosis es una patología ginecológica benigna que consiste en la presencia de tejido endometrial hormonalmente activo fuera de la cavidad uterina (1). Fue descrita por primera vez en 1860 por von Rokitansky (2). Su prevalencia ronda entre el 10-15% de las mujeres en edad reproductiva, e incluso en un 35-50% de las mujeres con dolor pélvico e infertilidad (1,3).…”

Section: Introductionunclassified

Oclusión intestinal por endometriosis

Valle

Hernández

2023

Rev.méd.sinerg.

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La endometriosis es una proliferación ectópica de glándulas y estroma endometrial fuera del útero. Ocurre con mayor frecuencia en mujeres en edad fértil y a nivel pélvico. El sitio extragenital más frecuente en donde se manifiesta es a nivel intestinal, y generalmente esta entidad suele ser asintomática; sin embargo, puede presentarse con clínica de dolor abdominal, sangrado rectal y estreñimiento. Un pequeño porcentaje de las pacientes con endometriosis intestinal pueden incluso presentarse con un cuadro de dolor abdominal agudo que requiera de tratamiento quirúrgico de emergencia. La oclusión intestinal secundaria a endometriosis es una entidad poco frecuente, en la cual establecer un diagnóstico preoperatorio es complicado debido a la inespecificidad de los síntomas. Se presenta el caso de una paciente femenina de 38 años que consultó a urgencias por un cuadro de oclusión intestinal. Se decide llevar a cirugía, en donde se documenta una masa en ciego (colon ascendente). Se realizó una resección segmentaria (colectomía derecha e ileotransversoanastomosis). La biopsia de la pieza reportó hallazgos que correlacionan con focos de endometriosis.

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