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Case Reports
. 2023 Jun 10;2023(6):rjad342.
doi: 10.1093/jscr/rjad342. eCollection 2023 Jun.

Robotic-assisted sigmoidectomy with intracorporeal anastomosis and endoscopic management of deep infiltrating intestinal endometriosis

David Lomeli-Reyes  1 , Jesús Montoya-Ramírez  1 , Enrique Reyes-Rodríguez  1 , Perla X López-Almanza  1 , Paola L Ochoa-Ruiz  1
Affiliations
Case Reports

Robotic-assisted sigmoidectomy with intracorporeal anastomosis and endoscopic management of deep infiltrating intestinal endometriosis

David Lomeli-Reyes et al. J Surg Case Rep. .

Abstract

Deep endometriosis, defined as external adenomyosis, is a late stage of endometriosis. Associated with very severe pain, in addition to probably being a cofactor of infertility, with a low prevalence, the diagnosis is integrated by high clinical suspicion and confirmed with imaging studies. Deep infiltration can reach sigmoid colon, which would have surgical indication as resolving treatment. We report the case of deep infiltrating endometriosis affecting sigmoid colon of a 42-year-old woman, who was diagnosed with colicky pain in the left lower quadrant and chronic constipation. Colonoscopy revealed a 90% stenosis in the proximal portion of sigmoid colon, as well as mural thickening proximal to the site of stenosis, reported by computed tomography with oral contrast, for which it was decided to perform robot-assisted sigmoidectomy, with a 6-month follow-up and with imaging control, patient continues asymptomatic and without the presence of lesions suggestive of recurrence, and there is no functional impairment.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
Preoperative colonoscopy: 90% stenosis conditioned to sigmoid colon.
Figure 2
Figure 2
Transoperative findings.
Figure 3
Figure 3
Transoperative colonoscopy.
Figure 4
Figure 4
Surgical piece.
Figure 5
Figure 5
Macroscopic findings.
Figure 6
Figure 6
Microscopic histopathological findings.
See this image and copyright information in PMC

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References

    1. Smolarz B, Szyllo K, Romanowicz H. Endometriosis: epidemiology, classification, pathogenesis, treatment and genetics. Int J Mol Sci 2021;22:10554. - PMC - PubMed
    1. Parasar P, Ozcan P, Terry KL. Endometriosis: epidemiology, diagnosis and clinical management. Curr Obstet Gynecol Rep 2017;6:34–41. - PMC - PubMed
    1. De Cicco C, Corona R, Schonman R, Mailova K, Ussia A, Koninckx P. Bowel resection for deep endometriosis: a systematic review. BJOG 2011;118:285–91. - PubMed
    1. Tsankov T, Zlatkov V. Bowel endometriosis - case of rectal localisatioin. Akush Ginekol 2016;55:56–8. - PubMed
    1. Chapron C, Chopin N, Borghese B, Foulot H, Dousset B, Vacher-Lavenu MC, et al. . Deeply infiltrating endometriosis: pathogenetic implications of the anatomical distribution. Hum Reprod 2006;21:1839–45. - PubMed

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