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ENDOMETRIOZA U DIGESTIVNOM SISTEMU – PRIKAZ DVA SLUČAJA SA SIMPTOMIMA INTESTINALNE OPSTRUKCIJE /
ENDOMETRIOSIS IN THE GASTROINTESTINAL SYSTEM - REPORT OF TWO CASE PRESENTING WITH SYMPTOMS OF INTESTINAL OBSTRUCTION

Authors

 

Milan Popović1 , Jelena Amidžić1,2 ,Ivan Čapo1 , Aleksandra Fejsa Levakov1,2 , Matilda Đolai1,2

1Univerzitet u Novom Sad, Medicinski fakultet, Katedra za histologiju i embriologiju
2Centar za patologiju i histologiju, Klinički centar Vojvodine, Novi Sad

 

UDK: 616.34-006


The paper was received / Rad primljen: 01.06.2019.

Accepted / Rad prihvaćen: 29.06.2019

 


Autor za korespondenciju:


Dr Milan Popović
Zavod za histologiju i embriologiju
Medicinski fakultet, Univerzitet u Novom Sadu
Hajduk Veljkova 3, 21 000 Novi Sad
Tel. +381643361884
e-mail: milan.popovic@mf.uns.ac.rs

 

 

Sažetak

 

Prisustvo endometrijalnih žlezda i strome van tkiva materice smatra se endometrioziom. Endometrioza se javlja kod 10-45% žena koje su u reproduktivnom periodu. Unutar karlice najzastupljenija lokalizacije endometrioze su jajnici, zatim okolni ligamenti i jajovodi. Najčešća ekstrapelvična lokalizacija endometrioze je gastrointestinalni sistem. Udružena pojava endometrioze u tankom crevu i limfnim čvorovima iz okolnog masnog tkiva predstavlja nesvakidašnji nalaz i jako se retko sreće. U ovom radu su prikazana dva slučaja endometrioze u tankom i debelom crevu, od kojih je kod jedne pacijentkinje prisustvo endometrioze dokazano i u limfnom čvoru. Obe pacijentkinje su se javile lekaru zbog simptoma izazvanih parcijalnom opstrukcijom lumena creva. Iako je intestinalna endometrioza retko stanje, kod žena reproduktivnog perioda sa znacima opstrukcije creva neophodno je diferencijalno dijagnostički imati je u vidu.

 

 

Ključne reči:

endometrioza, tanko crevo, debelo crevo, endometrioza limfnog čvora

 

 

Abstract

 

Endometriosis is characterized by the extrauterine presence of functional endometrial tissue consisting of endometrial glands and/or stroma. Endometriosis occurs in 10%–45% of women in the reproductive age group. Pelvic organs such as the ovaries, uterosacral ligaments and fallopian tubes are common sites of endometriosis. In cases of extrapelvic localization, endometriosis occurs most frequently in gastrointestinal tract. We report two cases of endometriosis in large and small bowel/ intestine with involvement of regional lymph nodes in one of the patients. Both patients were initially presented with symptoms of intestinal obstruction. Preoperative diagnosis of intestinal endometriosis is challenging and difficult to distinct from other diseases in terms of symptomatology and radiological appearances, so final diagnosis should be made after histopathological evaluation. Although, intestinal obstruction due to endometriosis is a rare condition, it should always be considered by pathologists in differential diagnosis in women of reproductive age. 

 

 

Keywords:

endometriosis,small bowel, colon, lymph node endometriosis

 

 

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PDF Popović M. et al. • MD-Medical Data 2019;11(2): 103-106

 

 

 

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