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Obstructive rectal endometriosis treated by robot-assisted laparoscopic surgery: a case report
Naotaka Kuriyama1, Koji Ando2, Qingjiang Hu1
1Department of Surgery and Science, Kyushu University, 3-1-1 Maidashi, Fukuoka, Fukuoka, 812-8582, Japan.
Surgical Case Reports
|August 16, 2020
Summary
Diagnosing rectal endometriosis preoperatively is challenging. This case highlights robot-assisted laparoscopic surgery as a viable treatment for sub-obstructive rectal endometriosis, especially with pelvic adhesions.
Area of Science:
- Gynecology
- Gastroenterology
- Surgical Oncology
Background:
- Rectal endometriosis is a rare condition.
- Preoperative diagnosis of rectal endometriosis is often difficult.
- This case involves a patient with sub-obstructive rectal endometriosis.
Purpose of the Study:
- To describe a rare case of rectal endometriosis.
- To highlight the diagnostic challenges.
- To present a surgical approach for treatment.
Main Methods:
- A 43-year-old woman presented with symptoms of rectal stenosis.
- Preoperative diagnosis was inconclusive despite examinations including laparoscopy.
- Robot-assisted laparoscopic low anterior resection with D3 lymph node dissection was performed.
Main Results:
- The surgery was performed for both diagnosis and treatment.
- Postoperative specimen revealed a submucosal tumor.
- Pathological examination confirmed rectal endometriosis.
Conclusions:
- Rectal endometriosis can present as an obstructive lesion.
- Preoperative diagnosis can be challenging.
- Robotic surgery proved effective for this case with extensive pelvic adhesion.
