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Journal of General Surgery

JGS

Aabstract

Case Report

Inusual Transverse Colon Endometriosis Mimes a Sigma’s Ascexualized Perforation. Case Report and Short Review of the Literature

Raffaele Porfidia (MD)*, Simona Grimaldi, Maria Giovanna Ciolli, Pietro Picarella and Sergio Grimaldi

Correspondence Address :

Raffaele Porfidia, MD
Department of General and Oncologic Surgery
Ospedale Convenzionato “Villa dei Fiori”
Corso Italia 157, 80011 Acerra (NA)
Italy

Received on: April 03, 2022, Accepted on: April 19, 2022, Published on: April 21, 2022

Citation: Raffaele Porfidia, Simona Grimaldi, Maria Giovanna Ciolli, Pietro Picarella, Sergio Grimaldi (2022). Inusual Transverse Colon Endometriosis Mimes a Sigma’s Ascexualized Perforation. Case Report and Short Review of the Literature

Copyright: © 2022 Raffaele Porfidia, et al. 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.

  • Abstract

Abstract

Summary
Background: Endometriosis is a common, benign, disease that affects women in their reproductive age and it is defined as the presence of ectopic endometrial tissue outside the uterine cavity. Endometriosis can involve any intraperitoneal organ such as the ovaries, peritoneal cavity of the pelvis and rectovaginal septum. It affects the bowel in 3-37% of all cases and histopathological diagnosis is usually straightforward.
Case Report: 43-year-old woman with abdominal pain, localized in the left iliac fossa, associated with hyperpyrexia and closed alvus with stool and gas for 48 hours. Clinical history of ovarian endometriosis. Performed CT abdomen showing abscess collection in the left iliac fossa with a clinical picture similar to complicated sigmoid diverticulitis. She performed diagnostic laparoscopy after 24 hours which revealed a picture of endometriosis of the transverse, ptotic colon, with perforation and pericolonic abscess. Segmental transversus resection and colo-colic anastomosis were performed. Discharged on the fifth day without complications. Histological confirmed endometriosis.
Conclusions: The presence of endometriosis on the middle third of the transverse colon is certainly rare. We explained this location because the transverse colon was notably ptotic and displaced in the left iliac fossa in a patient with a history of left ovarian endometriosis. Histological signs of intestinal perforation were highlighted.
Keywords: Endometriosis, Transverse colon, Emergency surgery

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