Acute colonic occlusion over endometriosis: About a case
Abdelilah El Bakouri1, Asmaa El Karouachi1, Mounir Bouali1
1Visceral Surgery Emergency Department, University Hospital Center Ibn Rochd, Casablanca, Morocco; Faculty of Medecine and Pharmacy, Hassan II University, Casablanca, Morocco.
International Journal of Surgery Case Reports
|February 16, 2021
Summary
Endometriosis commonly affects the gastrointestinal tract, particularly the sigmoid colon. This case highlights the diagnostic challenges of gastrointestinal endometriosis presenting as acute bowel obstruction.
Area of Science:
- Gastroenterology
- Gynecology
- Surgical Pathology
Background:
- Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus.
- The gastrointestinal tract is the most frequent site for extrapelvic endometriosis.
- Diagnosis can be challenging, especially with acute presentations like bowel obstruction.
Observation:
- A patient presented with symptoms of acute bowel obstruction.
- The obstruction was caused by a sigmoid colon process.
- The patient underwent colorectal resection for the condition.
Findings:
- Post-operative anatomopathological examination confirmed endometriosis as the cause of the sigmoid obstruction.
- This highlights a rare but critical presentation of endometriosis.
Implications:
- Emphasizes the importance of considering endometriosis in the differential diagnosis of acute bowel obstruction, even in the absence of typical pelvic symptoms.
- Suggests that anatomopathological examination is crucial for definitive diagnosis in challenging cases.
- Highlights the need for multidisciplinary approaches in managing complex endometriosis cases.
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