Acute endometrial bowel obstruction—A rare indication for colonic stenting

Whelton, Christopher; Bhowmick, Arnab

doi:10.1016/j.ijscr.2012.11.007

Cited by 17 publications

(22 citation statements)

References 14 publications

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“…Although hormone therapy is primarily the treatment of choice for endometriosis, it cannot reverse stricturing in the bowel, so in acute or subacute intestinal obstruction, the mechanical blockage requires urgent surgical intervention [12]. Chronic symptoms generally subside promptly during GnRH agonist treatment, owing to induced hypoestrogenism [7].…”

Section: Discussionmentioning

confidence: 99%

“…However, the use of metal stents in this context is controversial and they are generally reserved for patients with colonic carcinoma in subocclusion before elective surgery or as palliative treatment for inoperable patients [19]. There are very few cases of colorectal endometriosis reported in the literature where self-expandable metallic stents were used as a bridge for further surgery [12,21].…”

Section: Discussionmentioning

confidence: 99%

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Endometriosis: A Rare Cause of Large Bowel Obstruction

Alexandrino

Lourenço

Carvalho

et al. 2017

GE Port J Gastroenterol

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Large bowel obstruction can result in significant morbidity and mortality, especially in cases of acute complete obstruction. There are many possible causes, the most common in adults being colorectal cancer. Endometriosis is a benign disease, and the most affected extragenital location is the bowel, especially the rectosigmoid junction. However, transmural involvement and acute occlusion are very rare events. We report an exceptional case of acute large bowel obstruction as the initial presentation of endometriosis. The differential diagnosis of colorectal carcinoma may be challenging, and this case emphasizes the need to consider intestinal endometriosis in females at a fertile age presenting with gastrointestinal symptoms and an intestinal mass causing complete large bowel obstruction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Endometriosis: A Rare Cause of Large Bowel Obstruction

Alexandrino

Lourenço

Carvalho

et al. 2017

GE Port J Gastroenterol

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“…A few of the unfit patients with gross pelvic and rectosigmoid endometriosis and those who are awaiting surgery have been treated temporarily with colonic stenting. 28 In small bowel endometriosis, the treatment of choice remains surgery and there is no described role of hormonal therapy. According to a recent meta-analysis, postoperative hormonal therapy does not demonstrate any benefits.…”

Section: 13mentioning

confidence: 99%

Small bowel obstruction due to subserosal endometriosis: an elusive condition

Mishra

Vats

Pandey

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…A PubMed adatbázisban és az interneten azóta 16, akut műtétet igénylő, vastagbél-ileust okozó endometriosisról találtunk angol nyelvű közleményt [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23]. Figyelemre méltó, hogy ezek közül 13 az utóbbi 6 évben jelent meg.…”

Section: Eredeti Közleményunclassified

“…5. Az ileus megoldására az endoszkópos stentbehelyezés ebben az esetben is szóba jön [33] és sikerrel alkalmazható is [14]. 6.…”

Section: Megbeszélésunclassified

Belet infiltráló endometriosis: a gasztroenterológia és a sebészet új kihívása? Vastagbélileust okozó endometriosis három esete és irodalmi áttekintés

et al. 2016

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Bevezetés: Az endometriosis miatt kezelt betegek száma az utóbbi évtizedekben nőtt és az esetek is előrehaladottab-bak. A belet infiltráló endometriosis legsúlyosabb szövődménye a vastagbélileus. A betegség ezen szövődményéről napjainkig 16 angol nyelvű, a betegek anamnézisét, kivizsgálását leíró esetismertetés jelent meg. Betegek: 2009 óta az I. Nőgyógyászati Klinikán endometriosissal kezelt 535 beteg közül három esetében korábban vastagbél-elzáródás miatt akut sebészeti beavatkozás történt. Eredmények: A betegek (13/21) 59%-ának anamnézisében endometriosisra utaló tünetek vagy endometriosis miatti korábbi kezelés szerepelt. A képalkotó vizsgálatok (ultrahangvizsgálat, komputertomográfia, mágneses rezonanciás vizsgálat) csak egy esetben vetették fel endometriosis gyanúját. Az esetek 61%-ában (13/21) a primer műtét előtt, 24%-ában (5/21) a műtét után történt kolonoszkópia, de egyetlen esetben sem merült fel endometriosis lehetősége. Bár minden esetben ileus alakult ki, a mucosa csupán 5%-ban (1/19) volt infiltrált. Következtetések: Fiatal nőbeteg ileusa hátterében endometriosis is állhat. A másodlagos kolonoszkópos jelek (falmerevség, megtöretés, benyomat) felismerésével a gasztroenterológus segítheti a preoperatív diagnózist, így megelőzhető a műtét felesleges kiterjesztése. Javasolt nőgyógyász bevonása a műtétbe. Orv. Hetil., 2016Hetil., , 157(49), 1960Hetil., -1966 Kulcsszavak: endometriosis, vastagbélileus, kivizsgálás, kolonoszkópia, műtét Bowel endometriosis: new challenge for gastroenterology and surgery? Three cases of endometriosis caused large bowel ileus and review of the literatureIntroduction: A number of the patients suffer from endometriosis increased in the past decades and the cases have became more serious. The most critical complication of bowel endometriosis is the large bowel obstruction. Up to recently, 16 similar case reports of large bowel endomteriosis causing obstruction, with detailed medical history have been published in the literature in English language. Patients: Since 2007 535 female have been treated in the 1st Gynaecological Department with endometriosis, out of them three patients from emergency surgery in the history because of large bowel obstruction. Results: Symptoms suggesting endometriosis or previous intervention due to endometriosis were detected in 59% (13/21) of the cases. Preoperative ultrasound, computertomography, magnetic resonance imaging did not give correct diagnosis. Colonoscopy was carried out before the primary operation in 61% (13/21) and after the surgery in 24% (5/21) of the cases, but none of them confirmed endometriosis. Although all the patients developed obstruction, only in 5% (1/19) of the patients was the mucosa infiltrated by the endometriosis. Conclusions: In a young female patient, intestinal obstruction can be caused by bowel endometriosis. Identification of colonoscopic signs (rigidity, impression, kinking) of endometriosis may help to avoid unnecessary extension of intestinal resection. Gynaecologists should take part in the operations.

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Acute endometrial bowel obstruction—A rare indication for colonic stenting

Cited by 17 publications

References 14 publications

Endometriosis: A Rare Cause of Large Bowel Obstruction

Endometriosis: A Rare Cause of Large Bowel Obstruction

Small bowel obstruction due to subserosal endometriosis: an elusive condition

Belet infiltráló endometriosis: a gasztroenterológia és a sebészet új kihívása? Vastagbélileust okozó endometriosis három esete és irodalmi áttekintés

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