Sigmoid endometriosis diagnosed preoperatively using endoscopic ultrasound-guided fine-needle aspiration
| Autor: | Noriyoshi Ishikawa, Kenichi Kishimoto, Naoki Oshima, Ichiro Moriyama, Riruke Maruyama, Ryoji Hyakudomi, Yoshitsugu Tajima, Hiroki Sonoyama, Mayumi Okada, Yoshikazu Kinoshita, Kousaku Kawashima, Mamiko Nagase, Shohei Sumi, Shunji Ishihara |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Endoscopic ultrasound
Adult medicine.medical_specialty Endometriosis Colonoscopy 03 medical and health sciences 0302 clinical medicine medicine Humans Endoscopic Ultrasound-Guided Fine Needle Aspiration Sigmoid Diseases medicine.diagnostic_test business.industry Gastroenterology Sigmoid colon Preoperative diagnosis General Medicine Sigmoid endometriosis medicine.disease Colorectal surgery digestive system diseases Stenosis Fine-needle aspiration medicine.anatomical_structure 030220 oncology & carcinogenesis EUS-FNA Preoperative Period 030211 gastroenterology & hepatology Female Radiology business Abdominal surgery |
| Zdroj: | Clinical Journal of Gastroenterology. 13:158-163 |
| ISSN: | 1865-7257 |
| Popis: | We report a case of sigmoid endometriosis diagnosed preoperatively based on endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) findings. A 42-year-old female came to us with left lower abdominal pain and bloating that had started 3 months prior. CT and MRI results showed wall thickening of the sigmoid colon. A colonoscopy procedure could not be completed because passage through the sigmoid colon was blocked due to severe stenosis, while mucosal biopsy samples obtained during that procedure could not confirm a diagnosis. EUS-FNA was then performed and specimens were obtained from the muscular layer with stenosis, which revealed a thickened hypoechoic lesion. Histological findings obtained by use of EUS-FNA demonstrated a large amount of fibrosis in endometrial glands and a diagnosis of sigmoid endometriosis was confirmed by additional immunostaining. Thus, a laparoscopic sigmoidectomy was performed, with sigmoid endometriosis finally diagnosed. Confirmation of a diagnosis of intestinal endometriosis based on histological findings of mucosal biopsy specimens obtained by colonoscopy is difficult, because endometrial implants are primarily located in the serosal and/or muscular layer. When safe aspiration is possible, we consider that EUS-FNA can be an effective method for preoperative diagnosis of intestinal endometriosis, which may contribute to avoidance of unnecessary or excessive surgery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink