Intestinal Obstruction from Multifocal Endometriosis: A Case Report and Review of Literature
Journal of Surgery
Volume 2, Issue 6, December 2014, Pages: 101-104
Received: Nov. 26, 2014;
Accepted: Dec. 12, 2014;
Published: Dec. 22, 2014
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Babatunde M. Duduyemi, Department of Pathology, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana
Osei Owusu-Afriyie, Department of Pathology, Komfo Anokye Teaching Hospital, Kumasi, Ghana
Prince Bohene, University Teaching Hospital, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana
Akinwale N. Titiloye, Department of Pathology, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana
Sampene P. Ossei, Department of Pathology, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana
Ernest K. Adjei, Department of Pathology, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana
Babarinde A. Ojo, Department of Anatomical Pathology, Benue State University, Markudi, Nigeria
Endometriosis causing intestinal obstruction presents a difficult challenge in making a timely and accurate clinical diagnosis because of the non-specific nature of its presentation which can mimic other causes of intestinal obstruction. We report a case of large bowel obstruction and rectal bleeding secondary to multifocal intestinal endometriosis which was thought to be colorectal cancer. Patient had partial colectomy done and histology showed endometriosis. Intestinal endometriosis should be considered as a differential diagnosis in a young patient with recurrent lower abdominal pains and distension in conjunction with signs of obstruction.
Babatunde M. Duduyemi,
Akinwale N. Titiloye,
Sampene P. Ossei,
Ernest K. Adjei,
Babarinde A. Ojo,
Intestinal Obstruction from Multifocal Endometriosis: A Case Report and Review of Literature, Journal of Surgery.
Vol. 2, No. 6,
2014, pp. 101-104.
Clement PB, Young RH, Scully RE. Stromal endometriosis of the cervix: a variant of endometriosis that may simulate a sarcoma. Am J Surg Pathol 1990; 14:449-455.
Batt, Ronald E. A history of endometriosis. London: Springer. 2011;13–38
Stratton P, Berkley KJ. "Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications". Hum. Reprod. Update 2011;17(3): 327–46
Samper ER, Slagle GW, Hand AM. Colonic endometriosis:its clinical spectrum. South Med J 1984; 77:912-4.
Croom RD 3rd, Donovan ML, Sshwesinger WH. Intestinal endometriosis. Am J Surg 1984; 148:660-7.
Lin YH, Kuo LI, Chuang AY, Cheng TI, Hung CF. Extrapelvic endometriosis complicated with colonic obstruction. J Chin Med Assoc 2006, 69:47-50.
Macafee CH, Greer HL. Intestinal endometriosis. J obstet Gynaec Brit Emp 1960; 67:539-55.
Kratzer G, Salvati E. Collective review of endometriosis of the colon. Am J Surg 1955; 90:866-9.
Zwas FR, Lyon DT. Endometriosis. An important condition in clinical gastroenterology. Dig Dis Sci 1991; 36:353-64.
Alistair AP Slesser, Sufian Sultan, Faris Kubba, Davoid P Sellu. Acute small bowel obstruction secondary to intestinal endometriosis, an elusive condition: a case report. World Journal of Emergency Surgery 2010, 5:27.
Szucs RA, Turner MA. Gastrointestinal tract involvement by gynaecologic diseases. Radiographics 1996, 16(6):1251-70.
Chapron C, Chopin N, Borghese B, Foulot H, Dousset B, Vacher-Lavenu MC, Viera M, Hasan M, Bricou A. Deeply infiltrating endometriosis: pathogenetic implications of the anatomical distribution. Hum Reprod 2006, 27(7):1839-45.
Redwine DB. Ovarian endometriosis: a marker for more extensive pelvic and intestinal disease. Fertil Steril. Aug 1999;72(2):310-315
Scarmato VI, Levine MS, Herlinger H, Wickstrom M, Furth EE, Tureck RW. Ileal endometriosis: radiographic findings in 5 cases. Radiology 2000, 214(2):509-12.
Popoutchi P, dos Reis Lemos CR, Silva JC, Nogueira AA, Feres O, Ribeiro da Rocha JJ. Postmenopausal intestinal obstructive endometriosis: case report and review of the literature. Sao Paulo Med J 2008, 126(3):190-3.
Quinn M. Endometriosis: the consequence of neurologic dysfunction. Med hypotheses 2004; 63:602-608.
Witz CA. Current concepts in the pathogenesis of endometriosis. Clin Obstet Gynecol. 1999; 42:566-585.
Mihn HN, Smadja A, Orcel L. (An integrated histogenetic concepts of internal and external endometriosis) L Gynecol Obstet Biol Reprod (Paris) 1986; 15:29-35.
Donner J, Spada F, Squifflet J, Nissole M. Bladder endometriosis must be considered as bladder adenomyosis. Fertil Steril 2000; 74:1175-1181.
Audebert AJ. (External endometriosis histogenesis, etiology and natural course). Rev Prat. 1990; 40:1077-1081.
Anaf V, El Nakadi I, Simon P, van de Stadt J, Fayt I, Simonart T, Noel JC. Preferential infiltration of large bowel endometriosis along the nerves of the colon. Hum Reprod. 2004; 19:996-1002.
Yantiss RK, Clement PB, Young RH. Endometriosis of the intestinal tract: a study of 44 cases of a disease that may cause diverse challenges in clinical and pathologic evaluation. Am J Surg Pathol. 2001; 25:445-454.
Cappel MS, Friedman D, Mikhail N. Endometriosis of the terminal ileum simulating the clinical, roentgenographic, and surgical findings in Crohn’s disease. Am J Gastroenterol. 1991; 86:1057-1062.
Dimoulios P, Koutrobakis IE, Tzardi M, Antoniou P, Matalliotakis IM, Kouroumalis EA. A case of sigmoid endometriosis difficult to differentiate from colon cancer. BMC Gastroenterol. 2003; 3:18.
Remorgida V, Ferrero S, Fulcheri E, Ragni N, Martin DC. Bowel endometriosis: presentation, diagnosis, and treatment. Obstet Gynecol Surv. 2007;62:461–470
Orbach IK, Reich H, Orbach M, Orbach L. Laparascopic treatment of recurrent small bowel obstruction secondary to ileal endometriosis. J Minim Invasive Gynecol. 2007; 14:113-115.
Antonella De Ceglie, Claudio Bilardi, Sabrina Blanchi, Massimo Picasso, Marcello Di Muzio, Alberto Trimarchi, Massimo Conio. Acute small bowel obstruction caused by endometriosis: A case report and review of literature. World J Gastroenterol. 2008; 14(21):3430-3434.
Boadech JM. Endoscopic diagnosis of colonic endometriosis. Gastrointest Endosc. 1992; 38:568-580.
Baong Peng, Jianhua Qian, Xiaoyun Wan, Chang Su. Endometriosis induced acute intestinal obstruction: A case report and literature review. Scientific Research and Essays. 2011;6(14):2976-2979.