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. 2019 Dec 16;35(4):325-328.
doi: 10.5578/turkjsurg.4054. eCollection 2019 Dec.

Colon resection for endometriosis

Affiliations

Colon resection for endometriosis

Timuçin Erol et al. Turk J Surg. .

Abstract

Endometriosis affects the women during reproductive period and can cause functional disorders. Sometimes general surgical intervention is necessary because of disease boundary. Especially the sigmoid colon and rectum are affected due to the close neighboring. In such a case, treatment must be individualized according to the patient and symptoms. If the lesion has penetrated the entire bowel wall, bowel resection may be inevitable. Laparoscopic resection of the sigmoid colon or rectum can be performed safely in this situation. When laparoscopic resection cannot be possible because of technical difficulties, open resection may be performed for treatment. Here we present two cases, one open and one laparoscopic colon resection performed due to endometriosis.

Keywords: Endometriosis; colon resection; hysterectomy.

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Conflict of interest statement

Conflict of Interest: There is no conflict of interest for this study.

Figures

Figure 1
Figure 1. Ax T2: Heterogenous, hyperintense, multiloculated complex cystic mass is present. The fat plane effected between the cyst and the neighboring sigmoid colon and uterus.
Figure 2
Figure 2. Ax T1: postcontrast FS T1: Image shows the linear enhance- ment of the walls of the multiloculated cystic mass.
Figure 3
Figure 3. Appearance of colonic compression due to deeply invasive endometriosis during colonoscopy.
Figure 4
Figure 4. Sag. T2 WI: Cystic mass has T1 hyperintense T2 mild hyperin- tense, dense content at some locations.
Figure 5
Figure 5. Ax, postcontrast T1 FS image: Linear wall enhancement at the dense loculated component. The mass pushes the uterus anteriorly.

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