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[Impending caecal blowout due to endometriosis]. | LitMetric

[Impending caecal blowout due to endometriosis].

Ned Tijdschr Geneeskd

Rode Kruis Ziekenhuis, afd. Chirurgie, Beverwijk.

Published: July 2016

AI Article Synopsis

Article 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.

Download full-text PDF

Source

Publication Analysis

Top Keywords

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blowout endometriosis]
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endometriosis] background
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