[Intestinal endometriosis: a diagnostic challenge for the internist?]

Autor: Olvera-Acevedo A; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades Dr. Antonio Fraga Mouret, Servicio de Medicina Interna, Ciudad de México, México., Cervantes-Bojalil J; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades Dr. Antonio Fraga Mouret, Servicio de Medicina Interna, Ciudad de México, México., Márquez-Vargas MG; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades Dr. Antonio Fraga Mouret, Servicio de Medicina Interna, Ciudad de México, México., Sánchez-Claudio M; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades Dr. Antonio Fraga Mouret, Servicio de Patología. Ciudad de México, México.
Jazyk: Spanish; Castilian
Zdroj: Revista medica del Instituto Mexicano del Seguro Social [Rev Med Inst Mex Seguro Soc] 2021 Feb 02; Vol. 59 (1), pp. 81-86. Date of Electronic Publication: 2021 Feb 02.
DOI: 10.24875/RMIMSS.M21000055
Abstrakt: Background: Within the wide variety of clinical skills distinctive of the internist the diagnostic approach of abdominal pain is paramount in everyday clinical practice. It is well known that no physician can diagnose what they don’t know: classically considered as one of the ‘‘great simulators’’, intestinal endometriosis is a rare yet potentially fatal cause of abdominal pain if misdiagnosed, thus requiring a comprehensive medical evaluation.
Case Report: We present the case of a 33-year-old woman evaluated for a bowel obstruction, in the first instance associated with a probable abdominal tumor, subsequently concluding the definitive diagnosis of intestinal endometriosis.
Conclusions: Although endometriosis is a frequent pathology, the location and clinical presentation presented in this case is not. However, the lack of information on this, like any other pathology, can delay the diagnosis or carry the risk of offering inappropriate treatments for an incorrect diagnosis. This is the importance of its knowledge and dissemination among first-contact doctors as well as clinical and surgical specialists.
Databáze: MEDLINE
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