Document Detail


Chronic intestinal obstruction due to rectosigmoid endometriosis: a case report.
MedLine Citation:
PMID:  16805176     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Intestinal endometriosis is not commonly reported in Nigeria and Africa. This paper presents a case of chronic intestinal endometriosis in a young Nigerian woman presenting with features of chronic intestinal obstruction. METHOD: The case records of a 29-year old Nigerian female, who presented with chronic intestinal obstruction secondary to endometriosis at the Olabisi Onabanjo University Teaching Hospital (OOUTH) Sagamu, Nigeria and literature review on the subject using medline and manual library search is presented. RESULT: A young woman presented with a three- month history of progressive abdominal distension and worsening constipation. Examination revealed a grossly distended abdomen, slightly tense but no area of tenderness. Bowel sounds were slightly exaggerated. A plain radiograph of the abdomen showed features of small and large bowel obstruction. A diagnosis of chronic large bowel obstruction was made. She was found to have a stricture in the rectosigmoid at laparotomy. Hartmann's resection was done. Histologically, the stricture was due to endometriosis. Subsequent closure of colostomy and re-establishment of intestinal continuity gave excellent results. CONCLUSION: A young Nigerian female diagnosed with chronic intestinal obstruction due to rectosigmoid endometriosis was successfully treated. Though this condition is believed to be relatively uncommon in Nigeria, there is a need for a high index of suspicion, to ensure early diagnosis.
Authors:
A O Tade
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria     Volume:  15     ISSN:  1115-2613     ISO Abbreviation:  Niger J Med     Publication Date:    2006 Apr-Jun
Date Detail:
Created Date:  2006-06-29     Completed Date:  2006-08-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888321     Medline TA:  Niger J Med     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  165-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, Olabisi Onabanjo University, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria.
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MeSH Terms
Descriptor/Qualifier:
Adult
Chronic Disease
Endometriosis / complications*
Female
Humans
Intestinal Obstruction / etiology*
Intestine, Large / physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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