Document Detail


Intestinal endometriosis--a rare cause of colonic perforation.
MedLine Citation:
PMID:  19195065     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Endometriosis is the ectopic growth of viable endometrium outside the uterus, affecting approximately 7% of females. It commonly affects pelvic structures including the bowel. Perforation of the colon by endometriosis is very rare and the patients generally present with an asymptomatic or painful pelvic mass, often in the left iliac fossa. Our patient presented acutely unwell and her symptoms were more suggestive of pyelonephritis or diverticulitis. We therefore report an unusual cause of acute abdomen. The purpose of the following case report is to elucidate certain diagnostic and therapeutic problems of the disease, concerning both surgeons and gynaecologists. In summary, intestinal endometriosis should be considered in the differential diagnosis of all post-menarche women with episodic gastrointestinal symptoms. A past history of endometriosis or co-existent gynaecological symptoms should increase the index of suspicion, and laparoscopy prior to formal laparotomy should be considered. Our patient, in retrospect, had a history of mild endometriosis, but we feel that this case serves as a reminder of a rare, but important, differential diagnosis of acute abdomen in females.
Authors:
Neeraj Kumar Garg; Nitin Babulal Bagul; Sam Doughan; Paul Harold Rowe
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  15     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-02-05     Completed Date:  2009-05-20     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  612-4     Citation Subset:  IM    
Affiliation:
Eastbourne Hospital, Eastbourne, East Sussex BN21 2UD, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Adult
Colonic Diseases / etiology*,  pathology
Endometriosis / complications*,  pathology
Female
Humans
Intestinal Diseases / complications*,  pathology
Intestinal Mucosa / pathology
Intestinal Perforation / etiology*,  pathology
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