Intestinal endometriosis. Our experience

Cifuentes, Ángela Sánchez; Arenas, María Fe Candel; Marín-Blázquez, Antonio Albarracín

doi:10.17235/reed.2016.4292/2016

Cited by 9 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Endometriosis represents a common gynecologic condition. It is de ned as the presence of endometrial glands in extrauterine sites [1], like ovary, fallopian tubes, cervix, pouch of Douglas, small and large intestines, recto vaginal septum, and the appendix [2]. 5-15% of women with endometriosis could suffer intestinal endometriosis.…”

Section: Introductionmentioning

confidence: 99%

A rare istopathological diagnosis: Endometrioid adenocarcinoma localized in the rectum. A case report.

Pace

Carillo

Paolo³

et al. 2023

Preprint

View full text Add to dashboard Cite

Introduction: Endometriosis-associated intestinal tumours represent the malignant trasformation of gastrointestinal endometriosis. Clinical features are similar to a colon tumor with abdominal or pelvic pain, dyschezia or bloody stools. Intestinal occlusion or perforation have also been described as a first presentation. The diagnosis is often postoperative and it is based on specific immunohistochemical patterns (CK7+/CK20-). Case presentation: In this article we present a rare case of a woman with a malignant trasformation of an endometriotic lesion of the sigmoid colon, who underwent emergency surgery for intestinal occlusion. She underwent an exploratory laparotomy and Hartmann resection. The immunophenotypic analysis of the specimens revealed the following pattern: CK20-, CK7+, compatible with the diagnosis of endometrioid adenocarcinoma. Conclusions: Endometrioid carcinoma is a rare tumor, difficult to diagnose preoperatively because clinically it presents with symptoms similar to those of patients with sigmoid adenocarcinoma. A high index of suspicion in conjunction with careful histological and immunohistochemical examination (CK7, CK20, CDX2, CD10, ER, and PR) is important for establishing a correct diagnosis.

show abstract

Section: Introductionmentioning

confidence: 99%

A rare istopathological diagnosis: Endometrioid adenocarcinoma localized in the rectum. A case report.

Pace

Carillo

Paolo³

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Notably, bowel endometriosis exhibits a predilection for the rectum and sigmoid colon, a phenomenon that may be linked to anatomical factors such as the deposition of refluxed endometrial tissue within the pouch of Douglas and its confinement by the sigmoid colon's positioning. The prevalence of intestinal endometriosis is between 3% and 37% of all endometriosis cases [19]. The frequency of intestinal segments' involvement decreases in the following order: sigmoid colon and rectum (72%), cecal appendix, terminal ileum, cecum, and transverse colon [20].…”

Section: Introductionmentioning

confidence: 99%

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

Mușat,

Păduraru,

Bolocan

et al. 2023

JCM

View full text Add to dashboard Cite

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.

show abstract

A Rare Histopathological Diagnosis: Endometrioid Adenocarcinoma Localized in the Rectum: a Case Report

Pace,

Carillo,

Paolo

et al. 2023

SN Compr. Clin. Med.

View full text Add to dashboard Cite

Endometriosis-associated intestinal tumors represent malignant transformation of gastrointestinal endometriosis. Clinical features are similar to colon tumor with abdominal or pelvic pain, dyschezia, or bloody stools. Intestinal occlusion or perforation has also been described as a first presentation. The diagnosis is often postoperative, and it is based on specific immunohistochemical patterns (CK7+/CK20−). We present a rare case of a woman with a malignant transformation of an endometriotic lesion of the sigmoid colon, who underwent emergency surgery for intestinal occlusion. She underwent an exploratory laparotomy and Hartmann resection. The immunophenotypic analysis of the specimens revealed the following pattern: CK20−, CK7+, compatible with the diagnosis of endometrioid adenocarcinoma. Endometrioid carcinoma is a rare tumor, difficult to diagnose preoperatively because of similar symptoms of sigmoid carcinoma. A high index of suspicion in conjunction with careful histological and immunohistochemical examination (CK7, CK20, CDX2, CD10, ER, and PR) is important for establishing a correct diagnosis.

show abstract

Intestinal endometriosis. Our experience

Cited by 9 publications

References 5 publications

A rare istopathological diagnosis: Endometrioid adenocarcinoma localized in the rectum. A case report.

A rare istopathological diagnosis: Endometrioid adenocarcinoma localized in the rectum. A case report.

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

A Rare Histopathological Diagnosis: Endometrioid Adenocarcinoma Localized in the Rectum: a Case Report

Contact Info

Product

Resources

About