Robotic-assisted sigmoidectomy with intracorporeal anastomosis and endoscopic management of deep infiltrating intestinal endometriosis

David Lomeli-Reyes, Jesús Montoya-Ramírez, Jesús Montoya‐Ramírez, Enrique Reyes-Rodríguez, Perla X López-Almanza, Paola L Ochoa-Ruiz
Journal of surgical case reports · 2023 · vol. 2023(6) , pp. rjad342 · doi:10.1093/jscr/rjad342 · PMID:37309546 · W4380422813
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case study describes robot-assisted sigmoidectomy with intracorporeal anastomosis and endoscopic management for deep infiltrating intestinal endometriosis, resulting in a pain-free, asymptomatic patient with no recurrence at six months.

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Abstract

Deep endometriosis, defined as external adenomyosis, is a late stage of endometriosis. Associated with very severe pain, in addition to probably being a cofactor of infertility, with a low prevalence, the diagnosis is integrated by high clinical suspicion and confirmed with imaging studies. Deep infiltration can reach sigmoid colon, which would have surgical indication as resolving treatment. We report the case of deep infiltrating endometriosis affecting sigmoid colon of a 42-year-old woman, who was diagnosed with colicky pain in the left lower quadrant and chronic constipation. Colonoscopy revealed a 90% stenosis in the proximal portion of sigmoid colon, as well as mural thickening proximal to the site of stenosis, reported by computed tomography with oral contrast, for which it was decided to perform robot-assisted sigmoidectomy, with a 6-month follow-up and with imaging control, patient continues asymptomatic and without the presence of lesions suggestive of recurrence, and there is no functional impairment.

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Condition tags

endometriosisadenomyosisdie_deep_infiltratinginfertility

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 (16)

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