Intestinal Endometriosis as a Cause of Obstructive Syndrome
Keywords:
intestinal endometriosis; intestinal obstruction; endometriosisAbstract
Introduction: Intestinal endometriosis is a rare form of extragenital endometriosis that can very rarely cause intestinal obstruction. Its preoperative diagnosis is extremely difficult due to its low incidence and the nonspecific nature of its clinical presentation.
Objective: To present a patient treated at the Arnaldo Milián Castro University Clinical Surgical Hospital in Santa Clara with a diagnosis of intestinal obstruction due to intestinal endometriosis.
Case presentation: A 51-year-old female patient with a history of uterine fibroids presented with intestinal obstruction and underwent a laparotomy, during which tumor-like lesions were found in the terminal ileum, cecum, and sigmoid colon. The surgical procedure consisted of a right hemicolectomy with ileotransverse anastomosis and sigmoidectomy with a Hartmann’s colostomy. Histological examination of the surgical specimen confirmed intestinal endometriosis as the cause of the obstruction.
Conclusions: Intestinal endometriosis, although rare, should be considered among the differential diagnoses of intestinal obstruction in women of childbearing age, and its treatment is generally based on resection of the affected intestine with restoration of intestinal transit.
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