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[Intestinal endometriosis: a report of 3 cases].

A González Ojeda1, A Palacios Macedo, L Muñoz Fernández

  • 1Instituto Nacional de la Nutrición Salvador Zubirán, México, D.F.

Revista De Gastroenterologia De Mexico
|April 1, 1991
PubMed
Summary

Surgical resection effectively treated intestinal endometriosis in three patients. This approach resolved symptoms like appendicitis and bowel obstruction, demonstrating its efficacy in managing this gynecological condition.

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Area of Science:

  • Gastroenterology
  • Gynecology
  • Surgical Oncology

Background:

  • Intestinal endometriosis is a rare condition where endometrial tissue grows in the gastrointestinal tract.
  • It can mimic other gastrointestinal diseases, leading to diagnostic challenges.

Observation:

  • Three cases of intestinal endometriosis treated surgically between 1978-1990 are presented.
  • Patients presented with varied symptoms including acute appendicitis, incomplete intestinal obstruction, and progressive lower intestinal obstruction.

Findings:

  • Surgical resection of affected bowel segments was performed in all three patients.
  • Postoperative outcomes were favorable, with no recurrence or associated malignancy noted.
  • One patient required hysterectomy and oophorectomy after experiencing side effects from hormonal therapy.

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Implications:

  • Surgical intervention is a highly effective treatment for intestinal endometriosis.
  • Early diagnosis and surgical management can prevent complications and improve patient outcomes.
  • Further research into optimal management strategies, including hormonal therapy, is warranted.