Deep Endometriosis Induced Spontaneous Colon Rectal Perforation in Pregnancy: Laparoscopy Is Advanced Tool to Confirm Diagnosis

Endometriosis causes rare complications in pregnancy, such as obstetrical bleeding, preterm birth, spontaneous haemoperitoneum, and intestinal perforation. The prevalence of spontaneous perforation due to intestinal endometriosis is unknown in pregnancy. A recent review of the literature indicated 1...

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Main Authors: Aurelio Costa, Annalisa Sartini, Silvia Garibaldi, Marco Cencini
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2014/907150
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author Aurelio Costa
Annalisa Sartini
Silvia Garibaldi
Marco Cencini
author_facet Aurelio Costa
Annalisa Sartini
Silvia Garibaldi
Marco Cencini
author_sort Aurelio Costa
collection DOAJ
description Endometriosis causes rare complications in pregnancy, such as obstetrical bleeding, preterm birth, spontaneous haemoperitoneum, and intestinal perforation. The prevalence of spontaneous perforation due to intestinal endometriosis is unknown in pregnancy. A recent review of the literature indicated 15 bowel complications caused by endometriosis during pregnancy or at the immediate postpartum period. The diagnosis of a bowel perforation can be difficult and in all of the cases reported necessitates an exploratory laparotomy. Anyway, in the majority of cases bowel perforation is not diagnosed during this laparotomy, and a repeat laparotomy is needed. Laparoscopy is being used increasingly in the diagnosis and operative management of acute abdomen. Laparoscopy can be a useful means of diagnosis and in addition a therapeutic tool in selected pregnant patients with abdominal pain. We report the first case of a pregnant woman with spontaneous double sigmoid and rectal perforation from decidualized endometriosis diagnosed by laparoscopy.
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institution Kabale University
issn 2090-6684
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language English
publishDate 2014-01-01
publisher Wiley
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-e9323ccbd96348589b27013ab9c907c82025-02-03T05:51:51ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/907150907150Deep Endometriosis Induced Spontaneous Colon Rectal Perforation in Pregnancy: Laparoscopy Is Advanced Tool to Confirm DiagnosisAurelio Costa0Annalisa Sartini1Silvia Garibaldi2Marco Cencini3General Surgery Division, Ospedali Riuniti Valdichiana Senese Hospital, Montepulciano, 53040 Siena, ItalyObstetrics and Gynecology Division, Ospedali Riuniti Valdichiana Senese, Via Provinciale No. 5, Località Nottola, Montepulciano, 53040 Siena, ItalyObstetrics and Gynecology Division, Ospedali Riuniti Valdichiana Senese, Via Provinciale No. 5, Località Nottola, Montepulciano, 53040 Siena, ItalyObstetrics and Gynecology Division, Ospedali Riuniti Valdichiana Senese, Via Provinciale No. 5, Località Nottola, Montepulciano, 53040 Siena, ItalyEndometriosis causes rare complications in pregnancy, such as obstetrical bleeding, preterm birth, spontaneous haemoperitoneum, and intestinal perforation. The prevalence of spontaneous perforation due to intestinal endometriosis is unknown in pregnancy. A recent review of the literature indicated 15 bowel complications caused by endometriosis during pregnancy or at the immediate postpartum period. The diagnosis of a bowel perforation can be difficult and in all of the cases reported necessitates an exploratory laparotomy. Anyway, in the majority of cases bowel perforation is not diagnosed during this laparotomy, and a repeat laparotomy is needed. Laparoscopy is being used increasingly in the diagnosis and operative management of acute abdomen. Laparoscopy can be a useful means of diagnosis and in addition a therapeutic tool in selected pregnant patients with abdominal pain. We report the first case of a pregnant woman with spontaneous double sigmoid and rectal perforation from decidualized endometriosis diagnosed by laparoscopy.http://dx.doi.org/10.1155/2014/907150
spellingShingle Aurelio Costa
Annalisa Sartini
Silvia Garibaldi
Marco Cencini
Deep Endometriosis Induced Spontaneous Colon Rectal Perforation in Pregnancy: Laparoscopy Is Advanced Tool to Confirm Diagnosis
Case Reports in Obstetrics and Gynecology
title Deep Endometriosis Induced Spontaneous Colon Rectal Perforation in Pregnancy: Laparoscopy Is Advanced Tool to Confirm Diagnosis
title_full Deep Endometriosis Induced Spontaneous Colon Rectal Perforation in Pregnancy: Laparoscopy Is Advanced Tool to Confirm Diagnosis
title_fullStr Deep Endometriosis Induced Spontaneous Colon Rectal Perforation in Pregnancy: Laparoscopy Is Advanced Tool to Confirm Diagnosis
title_full_unstemmed Deep Endometriosis Induced Spontaneous Colon Rectal Perforation in Pregnancy: Laparoscopy Is Advanced Tool to Confirm Diagnosis
title_short Deep Endometriosis Induced Spontaneous Colon Rectal Perforation in Pregnancy: Laparoscopy Is Advanced Tool to Confirm Diagnosis
title_sort deep endometriosis induced spontaneous colon rectal perforation in pregnancy laparoscopy is advanced tool to confirm diagnosis
url http://dx.doi.org/10.1155/2014/907150
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