Sigmoid colon endometriosis treated laparoscopically: a difficult preoperative diagnosis

Detalhes bibliográficos
Autor(a) principal: Santos, Mariana
Data de Publicação: 2011
Outros Autores: Almeida, Rui Ferreira de, Martins, Paulo, Gonçalves, Gil, Nora, Mário, Scigliano, Horácio
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://revista.spcir.com/index.php/spcir/article/view/97
Resumo: Although rare, extrapelvic endometriosis in women of childbearing age can cause clinically significant complications. The exact prevalence is unknown but the most commonly involved sites are the rectosigmoid and the rectovaginal septum. The preoperative diagnosis may be difficult, due to the lack of pathognomonic symptoms and the poor performance of colonoscopy and colonic biopsies. We present a case of a 39-year-old woman with sigmoid endometriosis, in which the initial diagnostic workup showed the presence of sigmoid colon stenosis, suggesting colon cancer. The patient was selected for sigmoidectomy performed by minimally invasive surgery. Pathologic analysis of the ressected specimen confirmed the diagnosis of colonic endometriosis. Colonic endometriosis is a diagnostic challenge and careful preoperative workup is necessary for optimal treatment. Keywords: endometriosis, colon stenosis, laparoscopy 
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spelling Sigmoid colon endometriosis treated laparoscopically: a difficult preoperative diagnosisTratamento Cirúrgico Minimamente Invasivo de Endometriose Cólica: um diagnóstico pré-operatório difícilAlthough rare, extrapelvic endometriosis in women of childbearing age can cause clinically significant complications. The exact prevalence is unknown but the most commonly involved sites are the rectosigmoid and the rectovaginal septum. The preoperative diagnosis may be difficult, due to the lack of pathognomonic symptoms and the poor performance of colonoscopy and colonic biopsies. We present a case of a 39-year-old woman with sigmoid endometriosis, in which the initial diagnostic workup showed the presence of sigmoid colon stenosis, suggesting colon cancer. The patient was selected for sigmoidectomy performed by minimally invasive surgery. Pathologic analysis of the ressected specimen confirmed the diagnosis of colonic endometriosis. Colonic endometriosis is a diagnostic challenge and careful preoperative workup is necessary for optimal treatment. Keywords: endometriosis, colon stenosis, laparoscopy Apesar de rara, a endometriose extra-pélvica em mulheres em idade fértil pode causar complicações clinicamente significativas. A prevalência exacta é desconhecida; os locais mais envolvidos são o cólon sigmóide, recto e septo rectovaginal. O diagnóstico pré-operatório pode ser difícil pela inexistência de sintomas patognomónicos e baixa taxa de identificação na colonoscopia e biopsias endoscópicas. È apresentado caso de doente do sexo feminino, 39 anos, com endometriose do cólon sigmóide, cujos exames auxiliares de diagnóstico mostravam estenose do cólon sigmóide sugestiva de neoplasia. A doente foi submetida a sigmoidectomia por via laparoscópica. O exame anátomo-patológico da peça ressecada confirmou o diagnóstico de endometriose. A endometriose cólica é um desafio diagnóstico e o estudo pré-operatório cuidadoso é necessário para um tratamento óptimo. Palavras-chave: endometriose, estenose cólica, laparoscopia Sociedade Portuguesa de Cirurgia2011-06-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spcir.com/index.php/spcir/article/view/97Revista Portuguesa de Cirurgia; No 17 (2011): Junho 2011 - II Série; 45-48Revista Portuguesa de Cirurgia; No 17 (2011): Junho 2011 - II Série; 45-482183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spcir.com/index.php/spcir/article/view/97https://revista.spcir.com/index.php/spcir/article/view/97/94Copyright (c) 2016 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessSantos, MarianaAlmeida, Rui Ferreira deMartins, PauloGonçalves, GilNora, MárioScigliano, Horácio2024-03-14T22:04:58Zoai:revista.spcir.com:article/97Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:00:47.310157Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Sigmoid colon endometriosis treated laparoscopically: a difficult preoperative diagnosis
Tratamento Cirúrgico Minimamente Invasivo de Endometriose Cólica: um diagnóstico pré-operatório difícil
title Sigmoid colon endometriosis treated laparoscopically: a difficult preoperative diagnosis
spellingShingle Sigmoid colon endometriosis treated laparoscopically: a difficult preoperative diagnosis
Santos, Mariana
title_short Sigmoid colon endometriosis treated laparoscopically: a difficult preoperative diagnosis
title_full Sigmoid colon endometriosis treated laparoscopically: a difficult preoperative diagnosis
title_fullStr Sigmoid colon endometriosis treated laparoscopically: a difficult preoperative diagnosis
title_full_unstemmed Sigmoid colon endometriosis treated laparoscopically: a difficult preoperative diagnosis
title_sort Sigmoid colon endometriosis treated laparoscopically: a difficult preoperative diagnosis
author Santos, Mariana
author_facet Santos, Mariana
Almeida, Rui Ferreira de
Martins, Paulo
Gonçalves, Gil
Nora, Mário
Scigliano, Horácio
author_role author
author2 Almeida, Rui Ferreira de
Martins, Paulo
Gonçalves, Gil
Nora, Mário
Scigliano, Horácio
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Santos, Mariana
Almeida, Rui Ferreira de
Martins, Paulo
Gonçalves, Gil
Nora, Mário
Scigliano, Horácio
description Although rare, extrapelvic endometriosis in women of childbearing age can cause clinically significant complications. The exact prevalence is unknown but the most commonly involved sites are the rectosigmoid and the rectovaginal septum. The preoperative diagnosis may be difficult, due to the lack of pathognomonic symptoms and the poor performance of colonoscopy and colonic biopsies. We present a case of a 39-year-old woman with sigmoid endometriosis, in which the initial diagnostic workup showed the presence of sigmoid colon stenosis, suggesting colon cancer. The patient was selected for sigmoidectomy performed by minimally invasive surgery. Pathologic analysis of the ressected specimen confirmed the diagnosis of colonic endometriosis. Colonic endometriosis is a diagnostic challenge and careful preoperative workup is necessary for optimal treatment. Keywords: endometriosis, colon stenosis, laparoscopy 
publishDate 2011
dc.date.none.fl_str_mv 2011-06-29
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revista.spcir.com/index.php/spcir/article/view/97
url https://revista.spcir.com/index.php/spcir/article/view/97
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revista.spcir.com/index.php/spcir/article/view/97
https://revista.spcir.com/index.php/spcir/article/view/97/94
dc.rights.driver.fl_str_mv Copyright (c) 2016 Revista Portuguesa de Cirurgia
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2016 Revista Portuguesa de Cirurgia
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Cirurgia
publisher.none.fl_str_mv Sociedade Portuguesa de Cirurgia
dc.source.none.fl_str_mv Revista Portuguesa de Cirurgia; No 17 (2011): Junho 2011 - II Série; 45-48
Revista Portuguesa de Cirurgia; No 17 (2011): Junho 2011 - II Série; 45-48
2183-1165
1646-6918
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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