Srpski arhiv za celokupno lekarstvo 2011 Volume 139, Issue 7-8, Pages: 531-535
https://doi.org/10.2298/SARH1108531S
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Diagnosis and treatment of deep infiltrating endometriosis with bowel involvement: A case report
Sparić Radmila (Klinika za ginekologiju i akušerstvo, Klinički centar Srbije, Beograd)
Hudelist Gernot (Odeljenje za ginekologiju i akušerstvo, Centar za endometriozu, Opšta bolnica, Vilah, Austrija)
Keckstein Joerg (Odeljenje za ginekologiju i akušerstvo, Centar za endometriozu, Opšta bolnica, Vilah, Austrija)
Introduction. Deep infiltrating endometriosis is a form of endometriosis
penetrating deeply under the peritoneal surface causing pain and infertility.
Assessment of the pelvis by laparoscopy and histological confirmation of the
disease is considered the golden standard of diagnosis. Case Outline. We are
presenting a patient diagnosed with deep infiltrating endometriosis by
transvaginal ultrasound and treated with minimally invasive radical surgery
including segmental resection of the bowel. Conclusion. Transvaginal
sonography has an important role in detecting deep endometriosis of the
pelvis. Fertility sparing surgery is the treatment of choice in symptomatic
women wishing to retain fertility, since drugs used for endometriosis
interfere with ovulation. The success of the surgery depends on the accuracy
of the preoperative diagnosis. A multidisciplinary approach in managing deep
endometriosis is mandatory in order to offer patients the best possible
treatment using the combined skills of the colorectal and gynaecologic
surgical teams. The presented case exhibits the feasibility of laparoscopic
approach to severe pelvic endometriosis with bowel involvement.
Keywords: deep endometriosis, diagnosis, treatment, surgery, laparoscopy
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