Dreigende 'blow-out' van het caecum door endometriose

Suzanne C Stokmans; Mark Tenhagen; Ramon R Gorter; Velja Mijtatovic; Gisela R H M Moormann; Mich S Dunker

Dreigende 'blow-out' van het caecum door endometriose

Translated title of the contribution: Impending caecal blowout due to endometriosis

Suzanne C Stokmans, Mark Tenhagen, Ramon R Gorter, Velja Mijtatovic, Gisela R H M Moormann, Mich S Dunker

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Endometrial tissue is present outside the uterine cavity in 6-10% of fertile women. Associated symptoms such as dysmenorrhoea, dyspareunia and abdominal discomfort are non-specific. For this reason, endometriosis is not always considered in women with abdominal symptoms. Endometriosis can also manifest itself as an acute surgical emergency such as an intestinal obstruction.

CASE DESCRIPTION: A 29-year-old woman was admitted to our hospital with acute lower abdominal pain and vomiting. On rectal examination a firm mass was palpable. CT scan of the abdomen showed the loops of colon to be extremely dilated. As a caecal blowout seemed imminent we carried out a laparotomy which revealed an obstruction of the rectum caused by severe endometriosis.

CONCLUSION: In fertile women presenting with signs of acute bowel obstruction, endometriosis should be included in the differential diagnosis and an early gynaecological consultation is indicated.

Translated title of the contribution	Impending caecal blowout due to endometriosis
Original language	Dutch
Pages (from-to)	A9168
Journal	Nederlands Tijdschrift voor Geneeskunde
Volume	159
Publication status	Published - 2015

Keywords

Abdominal Pain/etiology
Adult
Diagnosis, Differential
Dyspareunia
Endometriosis/complications
Female
Humans
Intestinal Obstruction/etiology
Laparoscopy/methods
Rectal Diseases/etiology

Cite this

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title = "Dreigende 'blow-out' van het caecum door endometriose",

abstract = "BACKGROUND: Endometrial tissue is present outside the uterine cavity in 6-10% of fertile women. Associated symptoms such as dysmenorrhoea, dyspareunia and abdominal discomfort are non-specific. For this reason, endometriosis is not always considered in women with abdominal symptoms. Endometriosis can also manifest itself as an acute surgical emergency such as an intestinal obstruction.CASE DESCRIPTION: A 29-year-old woman was admitted to our hospital with acute lower abdominal pain and vomiting. On rectal examination a firm mass was palpable. CT scan of the abdomen showed the loops of colon to be extremely dilated. As a caecal blowout seemed imminent we carried out a laparotomy which revealed an obstruction of the rectum caused by severe endometriosis.CONCLUSION: In fertile women presenting with signs of acute bowel obstruction, endometriosis should be included in the differential diagnosis and an early gynaecological consultation is indicated.",

keywords = "Abdominal Pain/etiology, Adult, Diagnosis, Differential, Dyspareunia, Endometriosis/complications, Female, Humans, Intestinal Obstruction/etiology, Laparoscopy/methods, Rectal Diseases/etiology",

author = "Stokmans, {Suzanne C} and Mark Tenhagen and Gorter, {Ramon R} and Velja Mijtatovic and Moormann, {Gisela R H M} and Dunker, {Mich S}",

year = "2015",

language = "Dutch",

volume = "159",

pages = "A9168",

journal = "Nederlands Tijdschrift voor Geneeskunde",

issn = "0028-2162",

publisher = "Vereniging Nederlands Tijdschrift voor Geneeskunde",

}

TY - JOUR

T1 - Dreigende 'blow-out' van het caecum door endometriose

AU - Stokmans, Suzanne C

AU - Tenhagen, Mark

AU - Gorter, Ramon R

AU - Mijtatovic, Velja

AU - Moormann, Gisela R H M

AU - Dunker, Mich S

PY - 2015

Y1 - 2015

N2 - BACKGROUND: Endometrial tissue is present outside the uterine cavity in 6-10% of fertile women. Associated symptoms such as dysmenorrhoea, dyspareunia and abdominal discomfort are non-specific. For this reason, endometriosis is not always considered in women with abdominal symptoms. Endometriosis can also manifest itself as an acute surgical emergency such as an intestinal obstruction.CASE DESCRIPTION: A 29-year-old woman was admitted to our hospital with acute lower abdominal pain and vomiting. On rectal examination a firm mass was palpable. CT scan of the abdomen showed the loops of colon to be extremely dilated. As a caecal blowout seemed imminent we carried out a laparotomy which revealed an obstruction of the rectum caused by severe endometriosis.CONCLUSION: In fertile women presenting with signs of acute bowel obstruction, endometriosis should be included in the differential diagnosis and an early gynaecological consultation is indicated.

AB - BACKGROUND: Endometrial tissue is present outside the uterine cavity in 6-10% of fertile women. Associated symptoms such as dysmenorrhoea, dyspareunia and abdominal discomfort are non-specific. For this reason, endometriosis is not always considered in women with abdominal symptoms. Endometriosis can also manifest itself as an acute surgical emergency such as an intestinal obstruction.CASE DESCRIPTION: A 29-year-old woman was admitted to our hospital with acute lower abdominal pain and vomiting. On rectal examination a firm mass was palpable. CT scan of the abdomen showed the loops of colon to be extremely dilated. As a caecal blowout seemed imminent we carried out a laparotomy which revealed an obstruction of the rectum caused by severe endometriosis.CONCLUSION: In fertile women presenting with signs of acute bowel obstruction, endometriosis should be included in the differential diagnosis and an early gynaecological consultation is indicated.

KW - Abdominal Pain/etiology

KW - Adult

KW - Diagnosis, Differential

KW - Dyspareunia

KW - Endometriosis/complications

KW - Female

KW - Humans

KW - Intestinal Obstruction/etiology

KW - Laparoscopy/methods

KW - Rectal Diseases/etiology

M3 - Article

C2 - 26306482

SN - 0028-2162

VL - 159

SP - A9168

JO - Nederlands Tijdschrift voor Geneeskunde

JF - Nederlands Tijdschrift voor Geneeskunde

ER -