Endométriose colorectale. Diagnostic et prise en charge

Régenet, Nicolas; Métairie, Sylvie; Cousin, G.M.; Lehur, P A

doi:10.1016/s0003-3944(01)00614-9

Cited by 28 publications

(17 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thereafter, a second and even in some cases a third laparotomy was needed to resect the obstructed bowel and to achieve bowel continuity. On the other hand, in an elective setting, a segmental colorectal resection can be performed by either laparoscopy or laparotomy [14, 15]. Recently, evaluations of the laparoscopic approach also show significant postoperative improvement of gynecologic and digestive symptoms as well as quality of life [16].…”

Section: Discussionmentioning

confidence: 99%

Surgical Outcome and Long-Term Follow-Up after Segmental Colorectal Resection in Women with a Complete Obstruction of the Rectosigmoid due to Endometriosis

Jong¹,

Mijatovic²,

Waesberghe

et al. 2009

Dig Surg

View full text Add to dashboard Cite

Introduction: Intestinal involvement is reported in up to 12% of women with endometriosis. Complete large bowel obstruction is a rare complication of intestinal endometriosis. It is estimated to occur in less than 1% of the cases. Objective: The aim of this study is to evaluate the surgical outcome and long-term follow-up after segmental colorectal resection in women with a complete obstruction of the rectosigmoid due to endometriosis. In addition, the diagnostic work-up is described and discussed in view of the current literature. Patients and Methods: We present a case series of 5 patients with a complete obstruction of the rectosigmoid due to endometriosis who were finally treated in our hospital within a multidisciplinary endometriosis team. We retrospectively analyzed all patients with this condition who were referred in the period January 2000 to December 2006. Results: All patients (mean age 31.8 years, range 25–43 years) underwent emergency surgery resulting in a diverting colostomy before referral to our hospital. The principal diagnostic tool used was magnetic resonance imaging which demonstrated in all patients multiorgan endometriosis with complete obstruction of the rectosigmoid. Thereafter, all patients underwent a segmental colorectal resection by re-laparotomy. The diagnosis intestinal endometriosis was histologically confirmed in all cases. After surgery no major complications occurred. During a follow-up of 18–36 months, residual symptoms such as chronic constipation, deep dyspareunia and chronic pelvic pain were reported in 2 patients. No recurrences of intestinal endometriosis occurred. Conclusion: In our case series, segmental colorectal resection showed a favorable surgical outcome with no major complications. In the long-term follow-up, a limited number of residual symptoms were reported and no recurrences occurred. Intestinal endometriosis as a cause of bowel obstruction is often a diagnostic challenge mimicking a broad spectrum of diseases. It should be included in the differential diagnosis in women of reproductive age presenting with any symptoms of bowel obstruction. Magnetic resonance imaging is recommended as the primary imaging technique in such cases. In our opinion, these patients should be treated in a multidisciplinary setting.

show abstract

Section: Discussionmentioning

confidence: 99%

Surgical Outcome and Long-Term Follow-Up after Segmental Colorectal Resection in Women with a Complete Obstruction of the Rectosigmoid due to Endometriosis

Jong¹,

Mijatovic²,

Waesberghe

et al. 2009

Dig Surg

View full text Add to dashboard Cite

show abstract

“…La fréquence de ces atteintes est variable selon les séries allant de 6 à 30 % [29,49]. Le site le plus communément atteint (75-90 %) est invariablement représenté par la charnière rectosigmoï-dienne résultant d'une atteinte par contiguïté du torus uterinum et des ligaments utérosacrés ; l'atteinte du bas rectum ou du sigmoïde est beaucoup plus rare [30,50].…”

Section: Endométriose Pelvienne Profondeunclassified

Imagerie de l'endométriose

Maubon

Bazot

2007

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

View full text Add to dashboard Cite

“…For surgical treatment of symptomatic pelvic endometriosis, laparoscopic surgical resection of all identified lesions is currently the best method of choice 253340. A preoperative map is crucial for the management of the disease 10.…”

Section: Introductionmentioning

confidence: 99%

“…Different surgical approaches are available for intestinal lesions: superficial skinning, partial longitudinal resection (with linear stapler), nodulectomy (with an endorectal circular stapler or with partial surgical resection of the wall), or segmentectomy ( Figure 1 ). The proper choice of surgical technique depends on the extension, position, and depth of the lesion, which must be previously well defined through imaging methods 2833404142…”

Section: Introductionmentioning

confidence: 99%

“…Diagnostic tools, including transrectal ultrasound (TRUS) ( Figure 2 ), magnetic resonance imaging (MRI) ( Figure 3 ), transvaginal ultrasound (TVUS) ( Figure 4 ), barium enema ( Figure 5 ), and colonoscopy ( Figure 6 ), play significant roles in determining a precise preoperative diagnosis of the disease 18404344454647484950. These data are useful in avoiding unnecessary laparoscopic approaches.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Transrectal ultrasound – Techniques and outcomes in the management of intestinal endometriosis

Rossini¹

2012

Endosopic Ultrasound

View full text Add to dashboard Cite

The widespread use of endoscopic ultrasound has facilitated the evaluation of subepithelial and surrounding lesions of the gastrointestinal tract. Deep pelvic endometriosis, with or without infiltration of the intestinal wall, is a frequent disease that can be observed in women in their fertile age. Patients of this disease may present nonspecific signs and symptoms or be completely asymptomatic. Laparoscopic surgical resection of endometriotic lesions is the treatment of choice in symptomatic patients. An accurate preoperative evaluation is indispensable for therapeutic decisions mainly in the suspicion of intestinal wall and/or urinary tract infiltration, and also in cases where we need to establish histological diagnosis or to rule out malignant disease. Diagnostic tools, including transrectal ultrasound, magnetic resonance image, transvaginal ultrasound, barium enema, and colonoscopy, play significant roles in determining the presence, depth, histology, and other relevant data about the extension of the disease. Diagnostic algorithm depends on the clinical presentation, the expertise of the medical team, and the technology available at each institution. This article reviews and discusses relevant clinical points in endometriosis, including techniques and outcomes of the study of the disease through transrectal ultrasound and fine-needle aspiration.

show abstract

Endométriose colorectale. Diagnostic et prise en charge

Cited by 28 publications

References 18 publications

Surgical Outcome and Long-Term Follow-Up after Segmental Colorectal Resection in Women with a Complete Obstruction of the Rectosigmoid due to Endometriosis

Surgical Outcome and Long-Term Follow-Up after Segmental Colorectal Resection in Women with a Complete Obstruction of the Rectosigmoid due to Endometriosis

Imagerie de l'endométriose

Transrectal ultrasound – Techniques and outcomes in the management of intestinal endometriosis

Contact Info

Product

Resources

About