Intestinal endometriosis treated by laparoscopic surgery: case series of 5 patients

Surgical Case Reports
Hiroka KondoShigeki Yamaguchi

Abstract

Intestinal endometriosis is rare and most frequently involves the rectum and sigmoid colon. Here, we report a case series of 5 patients who underwent laparoscopic resection for intestinal endometriosis. None of the patients developed postoperative complications, and all were discharged at 5-8 days after surgery. The diagnosis of intestinal endometriosis is difficult to obtain before surgery. Only 2 of 5 patients were diagnosed preoperatively. Among 1 of the 2 patients, the symptoms at the time of menstruation were obvious. In patients with submucosal tumors, the preoperative diagnosis can be difficult. Additional imaging examinations at the time of menstruation might be useful for obtaining a diagnosis. D2 dissections were performed for 3 patients, because malignancy could not be ruled out as a preoperative diagnosis. The surgical findings of 1 patient did not appear to be endometriosis. Surgery for intestinal endometriosis usually encounters advanced pelvic adhesions and fibrosis. For patients undergoing sigmoidectomy, the mean operative time was 152 min and mean blood loss was 10 mL. For patients undergoing rectal resection, the mean operative time was 282 min and mean blood loss was 17 mL. Two cases had severe pelvic adhesio...Continue Reading

References

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Dec 13, 2018·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Antonio Matos RochaFernanda Bedin

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Citations

Jul 19, 2020·Best Practice & Research. Clinical Obstetrics & Gynaecology·Caitlin Anne JagoSukhbir S Singh

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Methods Mentioned

BETA
biopsies
dissection
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