Endometriosis: A Rare Cause of Large Bowel Obstruction

Alexandrino, Gonçalo; Lourenço, Luís Carvalho; Carvalho, Rita; Sobrinho, Cisaltina; Horta, David; Reis, Jorge

doi:10.1159/000480707

Cited by 16 publications

(24 citation statements)

References 19 publications

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“…When other organs are involved, the bowel is affected 3 to 12% of the time particularly at rectosigmoid junction. 19 The etiology and pathophysiology of endometriosis are not fully understood. Typical complaints of endometriosis include dyspareunia, irregular menstruation, cyclic pelvic pain, and dysmenorrhea.…”

Section: Endometriosismentioning

confidence: 99%

Large Bowel Obstruction

Johnson

Hawkins

2021

Clin Colon Rectal Surg

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Nearly one-quarter of bowel obstructions occur in the large bowel. As with all bowel obstructions, large bowel obstructions have three defining characteristics: partial or complete, intrinsic or extrinsic, benign or malignant. The work-up for a large bowel obstruction should focus on the etiology of the obstruction as well as severity. Management strategy is contingent on the previous characteristics and can include endoscopy, diversion, or resection. This chapter will discuss common and rare etiologies of large bowel obstructions as well as management strategies for clinical guidance.

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Section: Endometriosismentioning

confidence: 99%

Large Bowel Obstruction

Johnson

Hawkins

2021

Clin Colon Rectal Surg

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“…Supporting this theory, Alexandrino and colleagues12 described a 30-year-old woman who presented with acute LBO secondary to transmural endometriosis causing stricturing disease of the rectosigmoid junction. An anterior resection with primary anastomosis and covering loop ileostomy was performed.…”

Section: Discussionmentioning

confidence: 96%

Large bowel obstruction in a 27-year-old woman caused by a sigmoid faecal bolus

Smith¹,

Abdalkoddus

Bethune

2018

BMJ Case Reports

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A 27-year-old woman presented to the emergency department with a 24-hour history of severe left iliac fossa pain associated with vomiting. She reported a history of ovarian cysts and was provisionally diagnosed with a ruptured ovarian cyst and admitted under the obstetrics and gynaecology team for further investigation. 24 hours later, she became haemodynamically unstable with increasing abdominal distention and developed a metabolic acidosis. A CT scan revealed large bowel obstruction (LBO) secondary to a faecal bolus in the sigmoid colon with appearances suggestive of adult-onset Hirschsprung's disease. She underwent an emergency laparotomy and decompressive transverse colotomy and was admitted to the intensive care unit overnight. After discharge, she presented again with small bowel obstruction (SBO) which resolved with conservative management. A follow-up colonoscopy and biopsies showed no anatomical abnormalities to account for the LBO and were inconclusive for Hirschsprung's disease.

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“…Digestive endometriosis accounts for about 8–12% of all forms of deep endometriosis, with the recto sigmoid location being by far the most common in 80–90% of digestive forms, followed by the recto vaginal septum, the distal part of the small intestine, the cecum and the appendix [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

“…It was not a tumor lesion but a dystrophic lesion with purely functional pathogenesis. The diagnosis of endometriosis is histological [ 7 ].…”

Section: Discussionmentioning

confidence: 99%