| Autor: |
Stokmans, Suzanne C, Tenhagen, Mark, Gorter, Ramon R, Mijtatovic, Velja, Moormann, Gisela R H M, Dunker, Mich S |
| Přispěvatelé: |
Paediatric Surgery, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam Reproduction & Development |
| Jazyk: |
Dutch; Flemish |
| Rok vydání: |
2015 |
| Předmět: |
|
| Zdroj: |
Nederlands tijdschrift voor geneeskunde, 159. Bohn Stafleu van Loghum |
| ISSN: |
0028-2162 |
| Popis: |
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. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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