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[Intestinal endometriosis causing subacute ileus. Experience in three cases]
Gyórgy Szendei1, Zsolt Máthé, Zsolt Hernádi
1Semmelweis Egyetem I. sz. Szülészeti és Nógyógyászati Klinika, 1088 Budapest, Baross u. 27. szendei@noi1.sote.hu
Magyar Sebeszet
|December 12, 2002
Summary
Three rare cases of intestinal endometriosis presented with catamenial hematochezia, a cyclical bowel obstruction. Surgical intervention and GnRH-analogue therapy were used to manage this rare gynecological condition.
Area of Science:
- Gynecology
- Gastroenterology
- Surgical Pathology
Background:
- Intestinal endometriosis is a rare condition causing significant patient morbidity.
- Classic endometriosis symptoms can be accompanied by cyclical gastrointestinal bleeding and obstruction.
Observation:
- Three patients with intestinal endometriosis experienced catamenial hematochezia, a hallmark symptom.
- Symptoms included cyclical subacute bowel obstruction, necessitating medical management and, in some cases, surgical intervention.
Findings:
- Surgical management, including anterior rectal resection and pelvic endometriosis implant removal, was performed.
- Treatment protocols involved GnRH-analogue therapy, hysterectomy with adnexectomy in one case, and infertility treatment in others.
Implications:
- This case series highlights the diagnostic and therapeutic challenges of intestinal endometriosis.
- Effective management requires a multidisciplinary approach, combining surgical and medical interventions for optimal patient outcomes.