Obstructive rectal endometriosis treated by robot-assisted laparoscopic surgery: a case report

BACKGROUND: Rectal endometriosis is a rare disease. A definitive diagnosis prior to surgery is often difficult. We encountered a patient with rectal sub-obstructive endometriosis that was treated by robot-assisted laparoscopic low anterior resection. CASE PRESENTATION: A 43-year-old woman visited ou...

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Detalles Bibliográficos
Autores principales: Kuriyama, Naotaka, Ando, Koji, Hu, Qingjiang, Miyashita, Yu, Fujimoto, Yoshiaki, Jogo, Tomoko, Hokonohara, Kentaro, Nakanishi, Ryota, Hisamatsu, Yuichi, Kimura, Yasue, Tsurumaru, Daisuke, Kohashi, Kenichi, Oda, Yoshinao, Oki, Eiji, Nishimura, Masataka, Mori, Masaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7427829/
https://www.ncbi.nlm.nih.gov/pubmed/32797328
http://dx.doi.org/10.1186/s40792-020-00977-9
Descripción
Sumario:BACKGROUND: Rectal endometriosis is a rare disease. A definitive diagnosis prior to surgery is often difficult. We encountered a patient with rectal sub-obstructive endometriosis that was treated by robot-assisted laparoscopic low anterior resection. CASE PRESENTATION: A 43-year-old woman visited our hospital with suspected stenosis caused by upper rectal cancer. She had a 2-year history of constipation. We were unable to confirm the diagnosis through detailed examinations, including laparoscopy. Robot-assisted laparoscopic low anterior resection with D3 lymph node dissection was performed for both diagnosis and treatment. The postoperative specimen showed a submucosal tumor. The pathological examination confirmed rectal endometriosis. CONCLUSIONS: We herein describe a rare case of obstructive rectal endometriosis that we were unable to diagnose preoperatively. Robotic surgery was useful in this case, which involved extensive pelvic adhesion.

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