Simultaneous Laparoscopic Treatment for Rectosigmoid and Ileal Endometriosis

Kazuhiro Sakamoto, Tsuyoshi Maeda, Tetsuro Yamamoto, Naofumi Takita, Sumito Suda, Tomoo Watanabe, Shuichi Sakamoto, Toshiki Kamano, Hiroyuki Takeuchi, Katsuyuki Kinoshita
Journal of laparoendoscopic & advanced surgical techniques. Part A · 2006 · vol. 16(3) , pp. 251–255 · doi:10.1089/lap.2006.16.251 · PMID:16796434 · W2015332152
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This paper describes the successful laparoscopic treatment of rectosigmoid and ileal endometriosis in a 38-year-old patient with symptomatic bowel obstruction.

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Abstract

Endometriosis is common in women of childbearing age, while severe intestinal endometriosis requiring bowel resection is relatively rare. Intestinal endometriosis has recently been managed laparoscopically. We report the case of a 38-year-old patient with rectosigmoid and ileal endometriosis who was successfully treated by laparoscopic bowel resections. The patient had first presented at age 34 years with a chief complaint of rectal bleeding and lower abdominal pain related to the menstrual cycle. She underwent laparoscopic surgery and was diagnosed with severe endometriosis involving the rectosigmoid colon. Although an additional laparoscopic surgery had been planned, she did not return to the hospital. When she was 38 years old, she presented again with the same symptoms. Magnetic resonance imaging revealed a low intensity mass between the uterus and the rectosigmoid colon. A barium enema showed a stenotic site in the rectosigmoid colon. After hormone therapy, she underwent laparoscopic surgery. The anterior wall of the rectosigmoid colon adhered firmly to the corpus of the uterus, and another stenotic site was identified at the terminal ileum. The rectosigmoid colon and ileum were partially resected under laparoscopy. The postoperative course was uneventful and she was freed of symptoms. Laparoscopic treatment for patients with severe endometriosis of the bowel has becomes feasible and safe.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Ileal Diseases Laparoscopy Rectal Diseases Sigmoid Diseases Adult Endometriosis Female Humans Ileal Diseases Laparoscopy Magnetic Resonance Imaging Rectal Diseases Sigmoid Diseases

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (17)

Cited by (6)

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License: CC0 · commercial use OK