Intestinal Perforation due to Deep Infiltrating Endometriosis during Pregnancy: Case Report

Detalhes bibliográficos
Autor(a) principal: Carneiro,Márcia Mendonça
Data de Publicação: 2018
Outros Autores: Costa,Luciana Maria Pyramo, Torres,Maria Das Graças, Gouvea,Patrícia Salomé, Ávila,Ivete de
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Revista brasileira de ginecologia e obstetrícia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032018000400235
Resumo: Abstract We report the case of a 33 year-old woman who complained of severe dysmenorrhea since menarche. From 2003 to 2009, she underwent 4 laparoscopies for the treatment of pain associated with endometriosis. After all four interventions, the pain recurred despite the use of gonadotropin-releasing hormone (GnRH) analogues and the insertion of a levonorgestrel intrauterine system (LNG-IUS). Finally, a colonoscopy performed in 2010 revealed rectosigmoid stenosis probably due to extrinsic compression. The patient was advised to get pregnant before treating the intestinal lesion. Spontaneous pregnancy occurred soon after LNG-IUS removal in 2011. In the 33rd week of pregnancy, the patient started to feel severe abdominal pain. No fever or sings of pelviperitonitis were present, but as the pain worsened, a cesarean section was performed, with the delivery of a premature healthy male, and an intestinal rupturewas identified. Severe peritoneal infection and sepsis ensued. A colostomy was performed, and the patient recovered after eight days in intensive care. Three months later, the colostomy was closed, and a new LNG-IUS was inserted. The patient then came to be treated by our multidisciplinary endometriosis team. The diagnostic evaluation revealed the presence of intestinal lesions with extrinsic compression of the rectum. She then underwent a laparoscopic excision of the endometriotic lesions, including an ovarian endometrioma, adhesiolysis and segmental colectomy in 2014. She is now fully recovered and planning a new pregnancy. A transvaginal ultrasound (TVUS) performed six months after surgery showed signs of pelvic adhesions, but no endometriotic lesions.
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spelling Intestinal Perforation due to Deep Infiltrating Endometriosis during Pregnancy: Case Reportdeep infiltrating endometriosisintestinal endometriosisintestinal rupturepregnancy complicationsAbstract We report the case of a 33 year-old woman who complained of severe dysmenorrhea since menarche. From 2003 to 2009, she underwent 4 laparoscopies for the treatment of pain associated with endometriosis. After all four interventions, the pain recurred despite the use of gonadotropin-releasing hormone (GnRH) analogues and the insertion of a levonorgestrel intrauterine system (LNG-IUS). Finally, a colonoscopy performed in 2010 revealed rectosigmoid stenosis probably due to extrinsic compression. The patient was advised to get pregnant before treating the intestinal lesion. Spontaneous pregnancy occurred soon after LNG-IUS removal in 2011. In the 33rd week of pregnancy, the patient started to feel severe abdominal pain. No fever or sings of pelviperitonitis were present, but as the pain worsened, a cesarean section was performed, with the delivery of a premature healthy male, and an intestinal rupturewas identified. Severe peritoneal infection and sepsis ensued. A colostomy was performed, and the patient recovered after eight days in intensive care. Three months later, the colostomy was closed, and a new LNG-IUS was inserted. The patient then came to be treated by our multidisciplinary endometriosis team. The diagnostic evaluation revealed the presence of intestinal lesions with extrinsic compression of the rectum. She then underwent a laparoscopic excision of the endometriotic lesions, including an ovarian endometrioma, adhesiolysis and segmental colectomy in 2014. She is now fully recovered and planning a new pregnancy. A transvaginal ultrasound (TVUS) performed six months after surgery showed signs of pelvic adhesions, but no endometriotic lesions.Federação Brasileira das Sociedades de Ginecologia e Obstetrícia2018-04-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032018000400235Revista Brasileira de Ginecologia e Obstetrícia v.40 n.4 2018reponame:Revista brasileira de ginecologia e obstetrícia (Online)instname:Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)instacron:FEBRASGO10.1055/s-0038-1624579info:eu-repo/semantics/openAccessCarneiro,Márcia MendonçaCosta,Luciana Maria PyramoTorres,Maria Das GraçasGouvea,Patrícia SaloméÁvila,Ivete deeng2018-06-08T00:00:00Zoai:scielo:S0100-72032018000400235Revistahttp://www.scielo.br/rbgohttps://old.scielo.br/oai/scielo-oai.phppublicações@febrasgo.org.br||rbgo@fmrp.usp.br1806-93390100-7203opendoar:2018-06-08T00:00Revista brasileira de ginecologia e obstetrícia (Online) - Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)false
dc.title.none.fl_str_mv Intestinal Perforation due to Deep Infiltrating Endometriosis during Pregnancy: Case Report
title Intestinal Perforation due to Deep Infiltrating Endometriosis during Pregnancy: Case Report
spellingShingle Intestinal Perforation due to Deep Infiltrating Endometriosis during Pregnancy: Case Report
Carneiro,Márcia Mendonça
deep infiltrating endometriosis
intestinal endometriosis
intestinal rupture
pregnancy complications
title_short Intestinal Perforation due to Deep Infiltrating Endometriosis during Pregnancy: Case Report
title_full Intestinal Perforation due to Deep Infiltrating Endometriosis during Pregnancy: Case Report
title_fullStr Intestinal Perforation due to Deep Infiltrating Endometriosis during Pregnancy: Case Report
title_full_unstemmed Intestinal Perforation due to Deep Infiltrating Endometriosis during Pregnancy: Case Report
title_sort Intestinal Perforation due to Deep Infiltrating Endometriosis during Pregnancy: Case Report
author Carneiro,Márcia Mendonça
author_facet Carneiro,Márcia Mendonça
Costa,Luciana Maria Pyramo
Torres,Maria Das Graças
Gouvea,Patrícia Salomé
Ávila,Ivete de
author_role author
author2 Costa,Luciana Maria Pyramo
Torres,Maria Das Graças
Gouvea,Patrícia Salomé
Ávila,Ivete de
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Carneiro,Márcia Mendonça
Costa,Luciana Maria Pyramo
Torres,Maria Das Graças
Gouvea,Patrícia Salomé
Ávila,Ivete de
dc.subject.por.fl_str_mv deep infiltrating endometriosis
intestinal endometriosis
intestinal rupture
pregnancy complications
topic deep infiltrating endometriosis
intestinal endometriosis
intestinal rupture
pregnancy complications
description Abstract We report the case of a 33 year-old woman who complained of severe dysmenorrhea since menarche. From 2003 to 2009, she underwent 4 laparoscopies for the treatment of pain associated with endometriosis. After all four interventions, the pain recurred despite the use of gonadotropin-releasing hormone (GnRH) analogues and the insertion of a levonorgestrel intrauterine system (LNG-IUS). Finally, a colonoscopy performed in 2010 revealed rectosigmoid stenosis probably due to extrinsic compression. The patient was advised to get pregnant before treating the intestinal lesion. Spontaneous pregnancy occurred soon after LNG-IUS removal in 2011. In the 33rd week of pregnancy, the patient started to feel severe abdominal pain. No fever or sings of pelviperitonitis were present, but as the pain worsened, a cesarean section was performed, with the delivery of a premature healthy male, and an intestinal rupturewas identified. Severe peritoneal infection and sepsis ensued. A colostomy was performed, and the patient recovered after eight days in intensive care. Three months later, the colostomy was closed, and a new LNG-IUS was inserted. The patient then came to be treated by our multidisciplinary endometriosis team. The diagnostic evaluation revealed the presence of intestinal lesions with extrinsic compression of the rectum. She then underwent a laparoscopic excision of the endometriotic lesions, including an ovarian endometrioma, adhesiolysis and segmental colectomy in 2014. She is now fully recovered and planning a new pregnancy. A transvaginal ultrasound (TVUS) performed six months after surgery showed signs of pelvic adhesions, but no endometriotic lesions.
publishDate 2018
dc.date.none.fl_str_mv 2018-04-01
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1055/s-0038-1624579
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dc.publisher.none.fl_str_mv Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
publisher.none.fl_str_mv Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
dc.source.none.fl_str_mv Revista Brasileira de Ginecologia e Obstetrícia v.40 n.4 2018
reponame:Revista brasileira de ginecologia e obstetrícia (Online)
instname:Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)
instacron:FEBRASGO
instname_str Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)
instacron_str FEBRASGO
institution FEBRASGO
reponame_str Revista brasileira de ginecologia e obstetrícia (Online)
collection Revista brasileira de ginecologia e obstetrícia (Online)
repository.name.fl_str_mv Revista brasileira de ginecologia e obstetrícia (Online) - Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)
repository.mail.fl_str_mv publicações@febrasgo.org.br||rbgo@fmrp.usp.br
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