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Acute Large Bowel Obstruction Caused by Endometriosis Requiring Sigmoidectomy

Large bowel obstruction (LBO) accounts for nearly 25% of all bowel occlusions. LBO is managed as a surgical emergency due to its increased risk of bowel perforation. Nearly, 2% to 4% of all surgical admissions are a result of LBO. The most common pathological development of LBO remains colonic malig...

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Detalles Bibliográficos
Autores principales: Plummer, Patrick D, Doorgen, Raydiene, Yglesias, Benjamin, Phillips, Joshua K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833863/
https://www.ncbi.nlm.nih.gov/pubmed/36644032
http://dx.doi.org/10.7759/cureus.32430
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author Plummer, Patrick D
Doorgen, Raydiene
Yglesias, Benjamin
Phillips, Joshua K
author_facet Plummer, Patrick D
Doorgen, Raydiene
Yglesias, Benjamin
Phillips, Joshua K
author_sort Plummer, Patrick D
collection PubMed
description Large bowel obstruction (LBO) accounts for nearly 25% of all bowel occlusions. LBO is managed as a surgical emergency due to its increased risk of bowel perforation. Nearly, 2% to 4% of all surgical admissions are a result of LBO. The most common pathological development of LBO remains colonic malignancy, representing approximately 60% of cases. Other etiology includes abdominal adhesions, diverticulosis, hernia, inflammatory bowel disease (IBD), and in rare cases endometriosis. In this report, the patient is a 36-year-old female with an LBO, originally thought to be a complication of diverticulitis. However, it was confirmed that the obstruction was a result of endometriosis tissue adherence to the colonic wall narrowing the intestinal lumen. The patient presented to the emergency department (ED) with nausea, vomiting, and abdominal pain that started six weeks prior. In this case report, we will discuss the rare complication of endometriosis causing LBO, clinical presentation, diagnosis, and management.
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spelling pubmed-98338632023-01-12 Acute Large Bowel Obstruction Caused by Endometriosis Requiring Sigmoidectomy Plummer, Patrick D Doorgen, Raydiene Yglesias, Benjamin Phillips, Joshua K Cureus Obstetrics/Gynecology Large bowel obstruction (LBO) accounts for nearly 25% of all bowel occlusions. LBO is managed as a surgical emergency due to its increased risk of bowel perforation. Nearly, 2% to 4% of all surgical admissions are a result of LBO. The most common pathological development of LBO remains colonic malignancy, representing approximately 60% of cases. Other etiology includes abdominal adhesions, diverticulosis, hernia, inflammatory bowel disease (IBD), and in rare cases endometriosis. In this report, the patient is a 36-year-old female with an LBO, originally thought to be a complication of diverticulitis. However, it was confirmed that the obstruction was a result of endometriosis tissue adherence to the colonic wall narrowing the intestinal lumen. The patient presented to the emergency department (ED) with nausea, vomiting, and abdominal pain that started six weeks prior. In this case report, we will discuss the rare complication of endometriosis causing LBO, clinical presentation, diagnosis, and management. Cureus 2022-12-12 /pmc/articles/PMC9833863/ /pubmed/36644032 http://dx.doi.org/10.7759/cureus.32430 Text en Copyright © 2022, Plummer et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Obstetrics/Gynecology
Plummer, Patrick D
Doorgen, Raydiene
Yglesias, Benjamin
Phillips, Joshua K
Acute Large Bowel Obstruction Caused by Endometriosis Requiring Sigmoidectomy
title Acute Large Bowel Obstruction Caused by Endometriosis Requiring Sigmoidectomy
title_full Acute Large Bowel Obstruction Caused by Endometriosis Requiring Sigmoidectomy
title_fullStr Acute Large Bowel Obstruction Caused by Endometriosis Requiring Sigmoidectomy
title_full_unstemmed Acute Large Bowel Obstruction Caused by Endometriosis Requiring Sigmoidectomy
title_short Acute Large Bowel Obstruction Caused by Endometriosis Requiring Sigmoidectomy
title_sort acute large bowel obstruction caused by endometriosis requiring sigmoidectomy
topic Obstetrics/Gynecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833863/
https://www.ncbi.nlm.nih.gov/pubmed/36644032
http://dx.doi.org/10.7759/cureus.32430
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