[Impending caecal blowout due to endometriosis]. / Dreigende 'blow-out' van het caecum door endometriose.
Ned Tijdschr Geneeskd
; 159: A9168, 2015.
Article
em Nl
| MEDLINE
| ID: mdl-26306482
ABSTRACT
BACKGROUND:
Endometrial tissue is present outside the uterine cavity in 6-10% of fertile women. Associated symptoms such as dysmenorrhoea, dyspareunia and abdominal discomfort are non-specific. For this reason, endometriosis is not always considered in women with abdominal symptoms. Endometriosis can also manifest itself as an acute surgical emergency such as an intestinal obstruction. CASE DESCRIPTION A 29-year-old woman was admitted to our hospital with acute lower abdominal pain and vomiting. On rectal examination a firm mass was palpable. CT scan of the abdomen showed the loops of colon to be extremely dilated. As a caecal blowout seemed imminent we carried out a laparotomy which revealed an obstruction of the rectum caused by severe endometriosis.CONCLUSION:
In fertile women presenting with signs of acute bowel obstruction, endometriosis should be included in the differential diagnosis and an early gynaecological consultation is indicated.
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Base de dados:
MEDLINE
Assunto principal:
Doenças Retais
/
Endometriose
/
Obstrução Intestinal
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
Nl
Ano de publicação:
2015
Tipo de documento:
Article