A. G. Macedo, J. Sousa, G. P. Pena, K. R. Bertges, E. R. Bertges, L. C. Bertges (1)
Summary
Endometriosis is common and can affect between 4 and 17 % of women in their reproductive years. 3 to 34% will have endometriosis foci in the digestive tract. We report a 30-year-old white woman who presented with abdominal pain and rectal bleeding, and who had a diagnosis of sigmoid endometriosis after histopathology of colonoscopy-obtained specimens. She responded satisfactorily to hormonal therapy.
Key Words: Endometriosis; Colon Sigmoid; Abdominal Pain; Gastrointestinal Hemorrhage
Resumo
]]> A endometriose é uma doença comum e pode afetar entre 4 e 7% das mulheres na idade reprodutiva. Entre 3 e 4% apresentarão endometriose no trato digestivo. Relatamos o caso de uma paciente branca, com 30 anos de idade, que se apresentou com dor abdominal e sangramento retal. Foi diagnosticado endometriose do sigmóide, após o exame histopatológico das biopsias obtidas durante a colonoscopia. A resposta clínica à hormonioterapia foi satisfatória.Palavras chave: Endometriose; Cólon sigmóide; Dor abdominal; Hemorragia gastrintestinal
Full text only available in PDF format
Texto Completo disponível apenas em PDF
Bibliografia
]]>
1. Olive DL, Schwartz LB. Endometriosis. N Engl J Med 1993; 328 (24):1759-69. [ Links ]
2. Meyers WC, Kelvin FM, Jones RS. Diagnosis and surgical treatment of colonic endometriosis. Arch Surg 1979; 114 (2):169-75.
3. Graham B, Mazier WP. Diagnosis and management of endometriosis of the colon and rectum. Dis Colon Rectum 1988; 31(12):952-6.
4. Ranney B. Etiology, prevention, and inhibition of endometriosis. Clin Obstet Gynecol 1980; 23 (3):875-82.
5. Coronado C, Franklin RR, Lotze EC et al. Surgical treatment of symptomatic colorectal endometriosis. Fertil Steril 1990; 53(3):411-6.
6. Bailey HR, Ott MT, Hartendorp P. Aggressive surgical management for advanced colorectal endometriosis. Dis Colon Rectum 1994; 37 (8):747-53.
7. Bergemann W, Heuer C. [Extragenital endometriosis with multiple stenoses of the small intestine]. Fortschr Med 1992; 110 (15):281-4.
8. Paksoy M, Karabicak I, Ayan F et al. Intestinal obstruction due to rectal endometriosis. Mt Sinai J Med 2005; 72 (6):405-8.
9. Rowland R, Langman JM. Endometriosis of the large bowel: a report of 11 cases. Pathology 1989; 21 (4):259-65.
10. Bozdech JM. Endoscopic diagnosis of colonic endometriosis. Gastrointest Endosc 1992; 38 (5):568-70.
]]> 11. Yantiss RK, Clement PB, Young RH. Endometriosis of the intestinal tract: a study of 44 cases of a disease that may cause diverse challenges in clinical and pathologic evaluation. Am J Surg Pathol 2001; 25 (4):445-54.12. Craninx M, D’Haens G, Cokelaere K et al. Crohn’s disease and intestinal endometriosis: an intriguing co-existence. Eur J Gastroenterol Hepatol 2000; 12 (2):217-21.
13. Shah M, Tager D, Feller E. Intestinal endometriosis masquerading as common digestive disorders. Arch Intern Med 1995; 155(9):977-80.
14. Orbuch IK, Reich H, Orbuch M et al. Laparoscopic treatment of recurrent small bowel obstruction secondary to ileal endometriosis. J Minim Invasive Gynecol 2007; 14 (1):113-5.
15. Daguati R, Somigliana E, Vigano P et al. Progestogens and estroprogestins in the treatment of pelvic pain associated with endometriosis. Minerva Ginecol 2006; 58 (6):499-510.
16. Keckstein J, Ulrich U, Kandolf O et al. [Laparoscopic therapy of intestinal endometriosis and the ranking of drug treatment]. Zentralbl Gynakol 2003; 125 (7-8):259-66.
17. Jarmin R, Idris MA, Shaharuddin S et al. Intestinal obstruction due to rectal endometriosis: a surgical enigma. Asian J Surg 2006; 29 (3):149-52.
18. Tade AO. Chronic intestinal obstruction due to rectosigmoid endometriosis: a case report. Niger J Med 2006; 15 (2):165-6.
19. Schweitzer KJ, van Bekkum E, de Groot CJ. Endometriosis with intestinal perforation in term pregnancy. Int J Gynaecol Obstet 2006; 93 (2):152-3.
20. Decker D, Konig J, Wardelmann E et al. Terminal ileitis with sealed perforation--a rare complication of intestinal endometriosis: case report and short review of the literature. Arch Gynecol Obstet 2004; 269 (4):294-8.
]]> 21. Croce P, De Giorgi O, Votta P et al. [Endometriosis of the ileum and colon complicated by intestinal obstruction. Report of two cases]. Minerva Ginecol 1999; 51 (5):189-92.22. Porpora MG, Pallante D, Ferro A et al. Intestinal endometriosis without evident pelvic foci treated with gonadotropin-releasing hormone agonist. Eur J Obstet Gynecol Reprod Biol 2006; 125 (2):265-6.
23. Roger N, Munoz-Bongrand N, Vila A et al. [Exclusive ileal endometriosis]. Gastroenterol Clin Biol 2005; 29 (11):1157-9.
24. Slavin RE, Krum R, Van Dinh T. Endometriosis-associated intestinal tumors: a clinical and pathological study of 6 cases with a review of the literature. Hum Pathol 2000; 31 (4):456-63.
25. Bishara M, Scapa E. [Stromal uterine sarcoma arising from intestinal endometriosis after abdominal hysterectomy and salpingo-oophorectomy]. Harefuah 1997; 133 (9):353-5, 415.
(1)CLIGED – Clínica de Gastroenterologia e Endoscopia Digestiva de Juiz de Fora MG, Santa Casa de Misericórdia de Piuhmi MG
Correspondência:
Luiz Carlos Bertges
]]> Rua Oswaldo Aranha 520/601São Mateus
Juiz de Fora MG
CEP 36016340
Phone number: 55 32 32118035; or 55 32 99873220
E mail: bertges@terra.com.br
Recebido para publicação: 31/07/2007
Aceite para publicação: 27/02/2008
]]>