Document Detail


Rectal perforation from endometriosis in pregnancy: case report and literature review.
MedLine Citation:
PMID:  20128037     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This case report describes a woman with spontaneous rectal perforation from decidualized endometriosis in pregnancy. A 37-year-old woman was admitted to our hospital at 30 wk of pregnancy with symptoms suggestive of pyelonephritis, which persisted until 33 wk of gestation when delivery of a premature male baby was performed through a cesarean section. On postoperative day 2, an abdominal computed tomography showed free air in the peritoneal cavity and a pelvic abscess. Explorative celiotomy revealed a diffuse severe fecaloid peritonitis that originated from a 3-cm wide rectal perforation. A Hartmann operation was then performed. Histopathological findings were consistent with decidualization of the rectal wall. Only 20 cases of intestinal perforation due to endometriosis have been reported in the literature. This report is believed to be the first case of spontaneous rectal perforation from endometriosis in pregnancy, and it shows the potential occurrence of serious and unexpected complications of the disease.
Authors:
Adolfo Pisanu; Daniela Deplano; Stefano Angioni; Rossano Ambu; Alessandro Uccheddu
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  16     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-03     Completed Date:  2010-04-05     Revised Date:  2010-09-28    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  648-51     Citation Subset:  IM    
Affiliation:
Department of Surgery, Clinica Chirurgica, University of Cagliari, Ospedale San Giovanni di Dio, Via Ospedale 46, 09124, Cagliari, Italy. adolfo.pisanu@unica.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Endometriosis / complications
Female
Gestational Age
Humans
Intestinal Perforation / etiology*
Male
Pregnancy
Pregnancy Complications*
Rectum / pathology
Comments/Corrections

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