md-medicaldata


Go to content

Main menu:

 

 

 

 

 

 

 

CIP -  Каталогизација у публикацији
Народна библиотека Србије, Београд
61
MD : Medical Data : medicinska revija = medical review / glavni i odgovorni urednik Dušan Lalošević. - Vol. 1, no. 1 (2009)- . - Zemun : Udruženje za kulturu povezivanja Most Art Jugoslavija ; Novi Sad : Pasterovo društvo, 2009- (Beograd : Scripta Internacional). - 30 cm

Dostupno i na: http://www.md-medicaldata.com. - Tri puta godišnje.

ISSN 1821-1585 = MD. Medical Data
COBISS.SR-ID 158558988


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

 

 

References:

 

  1. Nezhat C, Hajhosseini B, King LP. Laparoscopic management of bowel endometriosis: predictors of severe disease and recurrence. JSLS 2011; 15: 431-8. 
  2. De Ceglie A, Bilardi C, Blanchi S, Picasso M, Di Muzio M, Trimarchi A, Conio M. Acute small bowel obstruction caused by endometriosis: a case report and review of the literature. World J Gastroenterol 2008; 14: 3430-4.
  3. Craig A. Winkel “Evaluation and Management of Women With Endometriosis” Obstetrics & Gynecology. 2003; 102(2): 397-408.
  4. Halban J. Metastatic hysteradenosis: lymphatic origin of so-called heterotropic adenofi bromatosis. Arch Gynäk 1925; 125: 475–9.
  5. Abrao MS, Podgaec S, Dias JA Jr, Averbach M, Garry R, Ferraz Silva LF, et al. Deeply infiltrating endometriosis affecting the rectum and lymph nodes. Fertil Steril 2006;86:543–7.
  6. Noël JC, Chapron C, Fayt I, Anaf V. Lymph node involvement and lymphovascular invasion in deep infiltrating rectosigmoid endometriosis. Fertil Steril 2008;89:1069–72.
  7. Mechsner S, Weichbrodt M, Riedlinger WF, Kaufmann AM, Schneider A, Köhler C. Immunohistochemical evaluation of endometriotic lesions and disseminated endometriosis-like cells in incidental lymph nodes of patients with endometriosis. Fertil Steril 2010;94:457–63.
  8. Tempfer CB, Wenzl R, Horvat R, Grimm C, Polterauer S, Buerkle B, et al. Lymphatic spread of endometriosis to pelvic sentinel lymph nodes: a prospective clinical study. Fertil Steril. 2011;96(3):692-6.
  9. Sampson J. Peritoneal endometriosis due to the menstrual dissemination of endometrial tissue into the peritoneal cavity. Am J Obstet Gynecol. 1927;14:422
  10. Nisolle M, Donnez J. Peritoneal endometriosis, ovar-ian endometriosis, and adenomyotic nodules of the rectovaginal septum are three different entities. Fertil Steril 1997;68:585–96.
  11. lifano M, Trisolini R, Cancellieri A, Regnard JF. Thoracic endometriosis: current knowledge. Ann Thorac Surg. 2006;81:761–9.
  12. Witz CA. Pathogenesis of endometriosis. Gynecol Obstet Invest. 2002;53 (Suppl 1):52–62.
  13. Ballouk F, Ross JS, Wolf BC. Ovarian endometriotic cysts: an analysis of cytologic atypia and DNA ploidy patterns. Am J Clin Pathol 1994;102:415–9.
  14. Nezhat F, Cohen C, Rahaman J, Gretz H, Cole P, Kalir T. Comparative immunohistochemical studies of bcl-2 and p53 proteins in benign and malignant ovarian endometriotic cysts. Cancer 2002;1:2935–40.
  15. Remorgida V, Ferrero S, Fulcheri E, Ragni N, Martin DC.Bowel endometriosis: presentation, diagnosis, and treatment.Obstet Gynecol Surv. 2007;62(7):461-70.
  16. Hwang BJ1, Jafferjee N, Paniz-Mondolfi A, Baer J, Cooke K, Frager D.Nongynecological endometriosis presenting as an acute abdomen.Emerg Radiol. 2012 Oct;19(5):463-71.
  17. Mechsner S, Weichbrodt M, Riedlinger WF, Bartley J,Kaufmann AM, Schneider A, Köhler C. Estrogen and progestogen receptor positive endometriotic lesions and disseminated cells in pelvic sentinel lymph nodes of patients with deep infiltrating rectovaginal endometriosis: a pilot study. Hum Reprod 2008; 23: 2202-9.
  18. Yantiss RK, Clement PB, Young RH. Endometriosis of the intestinal tract: a study of 44 cases of a disease that may cause diverse challenges in clinical and pathologic evaluation. Am J Surg Pathol. 2001;25: 445-54.
  19. Gentile JKA, Migliore R, Kistenmacker FJN, Oliveira MM, Garcia RB, Bin FC. Malignant transformation of abdominal wall endometriosis to clear cell carcinoma: case report. Sao Paulo Med. J. 2017.
  20. Arata R, Takakura Y, Ikeda S, Itamoto T. A case of ileus caused by ileal endometriosis with lymph node involvement. Int J Surg Case Rep. 2019;54:90–94.
  21. Abrao MS, Podgaec S, Dias J, Averbach M, Garry R, Ferraz Silva LF, et al. Deeply infiltrating endometriosis affecting the rectum and lymph nodes. Fertil Steril 2006;86:543–7.


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

 

 

 

Naslovna | Revija | Galerija | Dešavanja | Instrukcije | Redakcija | Izdavač | Prijatelji sajta | Saradnja | Kontakt | Site Map


Back to content | Back to main menu