The uterine artery arose from a common trunk with the umbilical artery in the majority of the Caucasian population. Surgeons and radiologists should be aware of this mode of branching to facilitate surgery and interventional radiology and improve the safety of these procedures.
Needle type Umbrella-shaped (N=25) Single needle (N=5) Total (N=30) Casual-clinic systolic BP (mmHg), mean ± SD 138.4 ± 25.9 139.0 ± 18.5 138.5 ± 24.6 Casual-clinic diastolic BP (mmHg), mean ± SD 84.4 ± 12.0 85.4 ± 13.4 84.5 ± 12.0 Total antihypertensive defined daily dose (DDD), mean ± SD
Ileocecocolic intussusception due to cecal endometriotic lesion is extremely rare, with symptoms that are often non‐specific, and delay in receiving support is resented by patients. We report the case of a 39‐year‐old woman who presented with major complications as a result of delayed diagnosis of cecal endometriosis. She experienced a diagnostic error that led to medical abortion for intractable vomiting, for which the pregnancy had been considered the only cause, resulting in secondary infertility. Six years later, she developed acute bowel intussusception after surgical treatment of rectal endometriosis requiring emergency surgery with ileocecal resection. After review of the literature, we draw attention to the major consequences of delay in diagnosis in the present case. Consequently, cecal location must not be missed in the diagnostic workup of gastrointestinal endometriosis.
The localization of endometriotic disease in the hepatic pedicle has never been reported to date. We report the first case of a 67‐year‐old postmenopausal patient having presented an endometriotic lesion in the hepatic pedicle. A surgical biopsy was needed to confirm the diagnosis after a first radiologic biopsy that concluded the presence of a mucinous cystic tumor with low‐grade dysplasia. Medical treatment with aromatase inhibitors was carried out because of the inextirpable nature of the lesion. The diagnosis and therapeutic management of this rarely occurring lesion of atypical localization in a postmenopausal patient is presented here. A review of the literature on this localization could have led to a damaging surgical treatment due to the different diagnoses suggested. Management of endometriosis relies on a multidisciplinary approach that each practitioner must know how to broach with patients of all ages.
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