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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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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
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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.
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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.
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Appendicitis-I: Introduction01:22

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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.
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Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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[Signet ring cell carcinoma in the terminal ileum in the background of Crohn's disease].

Orvosi hetilap·2025
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Related Experiment Video

Updated: Jun 13, 2025

Sentinel Lymph Node Mapping and Biopsy for Endometrial Cancer at Early Stage with Laparoscopy
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[Endometriosis in the sigmoid colon causing obstruction with lymph node involvement].

Viktor Nagy1

  • 11 Komárom-Esztergom Vármegyei Szent Borbála Kórház, Patológia Tatabánya, Dózsa Gy. út 77., 2800 Magyarország.

Orvosi Hetilap
|May 26, 2025
PubMed
Summary

A rare case of intestinal obstruction caused by endometriosis with lymph node involvement was successfully treated with surgery. This highlights the importance of considering endometriosis in differential diagnoses for abdominal pain and obstruction.

Keywords:
colonic obstructionendometriosisileuslymph nodenyirokcsomósigmaszigmabél

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Area of Science:

  • Gastroenterology
  • Gynecology
  • Surgical Pathology

Background:

  • Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus.
  • Lymph node involvement in endometriosis is uncommon and can mimic malignant processes.
  • Diagnosis can be challenging, often requiring surgical exploration.

Purpose of the Study:

  • To present a case of intestinal obstruction secondary to endometriosis with lymph node involvement.
  • To discuss the diagnostic and therapeutic challenges associated with this rare presentation.
  • To highlight the importance of considering endometriosis in the differential diagnosis of bowel obstruction.

Main Methods:

  • Case report of a 50-year-old woman presenting with subacute and then complete intestinal obstruction.
  • Inconclusive imaging examinations.
  • Emergency Hartmann’s resection of the sigmoid colon with end-stoma formation.
  • Histopathological examination and immunohistochemistry of the surgical specimen.

Main Results:

  • Histology confirmed extensive endometriosis with lymph node involvement.
  • Malignant, metastatic, or other non-malignant processes were excluded.
  • The patient underwent emergency surgery for intestinal obstruction.

Conclusions:

  • Endometriosis with lymph node involvement can present as intestinal obstruction, mimicking malignancy.
  • Accurate diagnosis requires thorough histopathological evaluation.
  • Treatment strategies, including surgery and medical management, should be individualized to prevent complications and recurrence.