[Changes in deposition pattern as presentation form of uretero-intestinal endometriosis]. / Cambio de ritmo deposicional como forma de presentación de endometriosis uretero-intestinal.

A case of ureteric and colonic obstruction secondary to endometriosis is described. We briefly review its pathogenesis and discuss the urologic and bowel implications, symptoms and signs, diagnosis and treatment. Because it is usually silent, urographic evaluation is advisable in all cases of endometriosis. Treatment is by surgery and adjuvant hormone therapy is given preoperatively or postoperatively for residual disease.

Acute postoperative diverticulitis.

Acute diverticulitis following surgery is a severe condition reported previously only after heart surgery. Four cases of diverticulitis in the early postoperative period are presented, three of them after non-cardiac procedures (tracheostomy, inguinal hernia repair and laminectomy). Advanced age, administration of morphine, treatment with steroids, postoperative constipation and intestinal mucosal ischaemia are discussed as possible aetiological factors leading to diverticular perforation. Although the diagnosis is often difficult, early treatment offers the best chance of survival.