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Titolo:
Postlaparoscopic small bowel obstruction secondary to unrecognized nodularendometriosis of the terminal ileum
Autore:
Dmowski, WP; Rana, N; Jafari, N;
Indirizzi:
Inst Study & Treatment Endometriosis, Oak Brook, IL 60523 USA Inst Study &Treatment Endometriosis Oak Brook IL USA 60523 IL 60523 USA
Titolo Testata:
JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS
fascicolo: 1, volume: 8, anno: 2001,
pagine: 161 - 166
SICI:
1074-3804(200102)8:1<161:PSBOST>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
SMALL-INTESTINAL-OBSTRUCTION; ILEAL ENDOMETRIOSIS; ABDOMINAL-SURGERY; LAPAROSCOPY; MULTICENTER; RESECTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Dmowski, WP Inst Study & Treatment Endometriosis, 2425 W 22nd St, Oak Brook, IL 60523 USA Inst Study & Treatment Endometriosis 2425 W 22nd St Oak Brook IL USA 60523
Citazione:
W.P. Dmowski et al., "Postlaparoscopic small bowel obstruction secondary to unrecognized nodularendometriosis of the terminal ileum", J AM AS G L, 8(1), 2001, pp. 161-166

Abstract

Small bowel involvement by endometriosis occurs in about 0.5% of patients,but nodular endometriosis involving the entire wall of the terminal ileum is extremely rare. Endometriotic nodules protruding into the intestinal lumen may lead to chronic, partial, or acute complete small bowel obstruction and associated clinical changes. If obstruction is partial, preoperative diagnosis is difficult and seldom suspected, and no reliable diagnostic testsare available. At laparoscopic surgery, performed typically for associatedpelvic endometriosis, bowel lesions may easily be overlooked, especially in women with abdominal adhesions from earlier surgery. Surgical injury, tension tears, or postoperative edema may contribute in such cases to the development of acute, complete small bowel obstruction, which may be difficult to differentiate from postoperative ileus. The patient may deteriorate rapidly and develop abdominal sepsis and multiple organ failure with high risk of mortality. Because of increased production of tumor necrosis factor-alpha by autologous monocytes, endometriosis may predispose to development of severe sepsis and septic shock.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 10:52:43