Acute colonic occlusion over endometriosis: About a case

Bakouri, Abdelilah El; Karouachi, A. El; Bouali, Mounir; Khouaja, Ayoub; Elhattabi, Khalid; Bensardi, Fatimazahra; Fadil, Abdelaziz; Karkouri, Mehdi

doi:10.1016/j.ijscr.2021.02.001

Cited by 2 publications

(2 citation statements)

References 10 publications

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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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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 third and fourth decades have its highest incidence. Its cause is unknown, however infertile women and those with a family history are more likely to develop it than other people [1]. The presence of extra-uterine endometrial tissue is what characterizes it [2].…”

Section: Introductionmentioning

confidence: 99%

Rectal Endometriosis Revealed by a Colonic Tumor Obstruction: A Case Report

Fakhir,

Boutaibi,

Aboulfalah

et al. 2023

OJOG

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Endometriosis is defined as the presence of endometrial tissue that is located outside the uterine cavity, associated with fibrosis and inflammatory reaction. The most common atypical locations are the gastrointestinal tract, urinary tract, lung, as well as abdominal surgical scars. Its diagnosis is still very difficult, especially when it manifests itself as an acute large bowel obstruction. We report the rare case of a 41-year-old patient diagnosed with acute colonic obstruction following a rectal tumor. She had undergone colonostomy even though colonoscopy biopsies were nonspecific, and a computed tomography (CT) scan was requested. It showed an adnexal heterogenous mass, therefore the patient had a laparotomy and a subtotal hysterectomy with bilateral salpingo-oophorectomy and a biopsy of the recto-colonic hinge. Histologic examination revealed a diagnosis of rectal endometriosis. The purpose of this work is to report a rare case of colonic endometriosis responsible for an acute large bowel obstruction.

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Acute colonic occlusion over endometriosis: About a case

Cited by 2 publications

References 10 publications

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

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

Rectal Endometriosis Revealed by a Colonic Tumor Obstruction: A Case Report

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