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Federación Mexicana de Ginecología y Obstetricia, A.C.

2011, Number 07

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Ginecol Obstet Mex 2011; 79 (07)

Transmural rectal endometriosis as a cause of chronic constipation. A case report and literature review

Hernández MPM, Barrón VR, Rivas LE, Godínez GMA, Pérez GM, López PS

Language: Spanish
References: 22
Page: 441-446
PDF size: 357.36 Kb.


ABSTRACT

The incidence of intestinal endometriosis is reported between 5.3 and 12% of cases and of these, between 70 and 93% are located in the rectum and sigmoid. We report the case of a 32-year-old with constipation and bloating and cramping pain during the last 2 years. The pain increased in frequency during the past 6 months. From the data obtained from physical examination and imaging studies may be suspected pelvic endometriosis with infiltration of anterior rectal wall. Resection of the low anterior rectum with colo-rectal anastomosis was performed, with adequate surgical outcome and resolution of symptoms. In patients of childbearing age with abdominal or pelvic pain, constipation of recent onset or occlusive bowel, which may or may not be related to the menstrual cycle should be considered transmural infiltration by endometrial tissue.


REFERENCES

  1. Del Frate C, Girometti R, Pittino M, Del Frate, et al. Deep retroperitoneal pelvis endometriosis: MR imaging appearance with laparoscopic correlation. RadioGraphics 2006;26:1705-1718.

  2. Yoshida M, Watanabe Y, Horiuchi A, Yamamoto Y, et al. Sigmoid colon endometriosis treated with laparoscopy-assisted sigmoidectomy: Significance of preoperative diagnosis. World J Gastroenterol 2007;13(40):5400-5402.

  3. Darai E, Ackerman G, Bazot M, Rouzier R, Dubernard G. Laparoscopic segmental colorectal resection for endometriosis: limits and complications Surg Endosc 2007;21:1572–1577.

  4. Bazot M, Malzy P, Cortez A, Roseau G, et al. Accuracy of transvaginal sonography and rectal endoscopic sonography in the diagnosis of deep infiltrating endometriosis. Ultrasound Obstet Gynecol 2007;30:994–1001.

  5. Hernández Ramírez DA, Cravioto Villanueva A, Barragán Rincón A. Endometriosis rectal: entidad de difícil diagnóstico. Rev Gastroenterol Mex 2008;73:159-162.

  6. Jin Soo Kim, Hyuk Hur, Byung Soh Min, Hoguen Kim, et al. Intestinal Endometriosis Mimicking Carcinoma of Rectum and Sigmoid Colon: A Report of Five Cases. Yonsei Med J 2009;50(5):732-735.

  7. Acosta González D, Herrera Delis P, López Rodríguez MC, Pérez Bell C, Pagés Gómez O. Endometriosis apendicular. MEDISAN 2006;10(4) Disponible en: http://bvs.sld.cu/revistas/san/vol10_4_06/san07406.htm

  8. Mourthé A, Andrade M, Batista Pimenta M, de Freitas Belezia B, Duarte T. Rectal obstruction due to endometriosis. Tech Coloproctol 2008;12:57-59.

  9. Kanthimathinathan V, Elakkary E, Bleibel W, Kuwajerwala N, et al. Endometrioma of the large bowel. Dig Dis Sci. 2007 Mar;52(3):767-769.

  10. Shigeru Kobayashi, Morio Sasaki, Tatsuya Goto, Naoki Asakage, et al. Endometrioid adenocarcinoma arising from endometriosis of the rectosigmoid. Digestive Endoscopy 2010;22:59–63.

  11. Mendoza Calderón F, Valladares GV, Ballesteros MA, Ayala CMM. Neumotórax catamenial secundario a endometriosis torácica. Ginecol Obstet Mex 2007;75(11):691-694.

  12. Pisanu A, Deplano D, Angioni S, Ambu R, Uccheddu A. Rectal perforation from endometriosis in pregnancy: Case report and literature review. World J Gastroenterol 2010;16(5):648-651.

  13. Hernández Y, Bracho V, Guzmán F, Jiménez P, Pérez G, Lara J, et al. Estenosis rectal benigna como expresión de endometriosis. A propósito de un caso. GEN 2009;63:123-124.

  14. Minelli L, Fanfani F, Fagotti A, Ruffo G, Ceccaroni M, Mereu L, et al. Laparoscopic colorectal resection for bowel endometriosis. Feasibility, complications and clinical outcome. Arch Surg 2009;144(3):234-239.

  15. Villanueva Sáenz E, Ostos Mondragón LJ, Peña Ruiz Esparza JP, Martínez Hernández Magro P, Rodríguez Yañez H. Endometriosis colorrectal. En: Takahashi T (Ed). Colon, recto y ano, enfermedades médico quirúrgicas. México DF: Editores de Textos Mexicanos, 2003;pp:397-401.

  16. Bouhmidi A, Sánchez Torres A, Martínez Jiménez T, Sáez Macia R, Sánchez de la Villa G, Montes Clavero C. Endometriosis rectosigmoidea. Rev Esp Enferm Dig 2006;98(10):789-798.

  17. Hernández Valencia M. Diagnóstico de la endometriosis. Perinatol Reprod Hum 2009;23:25-29.

  18. Saavedra J. Manejo laparoscópico de la endometriosis del septo recto-vaginal. Rev Colomb Obstet Ginecol 2003;54:176-184.

  19. Sánchez Sabando J, De la Rosa Villando J. Endometriosis de la válvula ileo-cecal, íleon y apéndice: sospecha quirúrgica de tumoración maligna a la palpación. Reporte de un caso. Oncología 2006;16:219-221.

  20. Cho YJ, Jeen YT, Kim YS, Chun HJ, et al. Rectal endometriosis mimicking a large polypoid rectal cancer. Endoscopy 2006;38:E48-E49.

  21. Chassang M, Novellas S, Bloch-Marcotte C, Dellote J, et al. Utility of vaginal and rectal contrast medium in MRI for the detection of deep pelvic endometriosis. Eur Radiol 2010;20:1003-1010.

  22. Alonso Goncalves S, Pera Román M, Gil Egea MJ, Grande Posa L. La imagen del mes. Estenosis rectal por endometriosis. Cir Esp 2008;84(3):164.




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