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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

179
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
179
Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

323
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
323
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

301
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
301
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

314
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
314
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

206
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
206
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

134
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Related Experiment Video

Updated: Jul 31, 2025

Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
07:20

Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity

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Endometriosis Causing Large Bowel Obstruction: A Case Report.

Mohamed I Ragab1, Amany M Altabba1, Saud Hilmi2

  • 1General Surgery, Al Kuwait Hospital, Sharjah, ARE.

Cureus
|May 5, 2023
PubMed
Summary
This summary is machine-generated.

Rectosigmoid endometriosis is a rare cause of bowel obstruction. This case highlights the importance of considering endometriosis in the differential diagnosis of large bowel obstruction, even with malignancy concerns, leading to successful surgical resection and anastomosis.

Keywords:
acute large bowel obstructionbowel endometriosisprimary anastomosisrectosigmoid endometriosisrectosigmoid mass

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Gynecologic Pathology

Background:

  • Endometriosis, the presence of endometrial tissue outside the uterus, commonly affects pelvic organs.
  • Extrapelvic endometriosis, particularly involving the colon, is rare.
  • Colonic endometriosis can present with symptoms mimicking colorectal malignancy, including bowel obstruction.

Observation:

  • A 40-year-old female presented with acute large bowel obstruction.
  • Initial clinical suspicion was colorectal malignancy.
  • Diagnostic evaluation confirmed rectosigmoid endometriosis as the cause.

Findings:

  • The patient underwent immediate laparotomy for the obstruction.
  • Surgical management involved rectosigmoid resection.
  • Primary anastomosis was successfully performed following resection.

Implications:

  • This case underscores the necessity of including endometriosis in the differential diagnosis for large bowel obstruction.
  • Prompt surgical intervention, including resection and anastomosis, can effectively manage symptomatic colonic endometriosis.
  • Accurate diagnosis and timely management are crucial for preventing complications associated with bowel obstruction.